Pneumopericardium in a child – “halo sign” on chest x-ray: A Case Report

A 5 year old boy with acute lymphoblastic leukemia on chemotherapy presented with chest pain and vomiting for two days after an elective procedure under general anesthesia. His chest x-ray was remarkable for a prominent halo sign, an air gap surrounding the heart indicating a large pneumopericardiu...

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Main Authors: Alina Sadaf, Aqeela Rashid, Sadia Omer
Format: Article
Language:English
Published: Pakistan Medical Association 2024-02-01
Series:Journal of the Pakistan Medical Association
Subjects:
Online Access:https://ojs.jpma.org.pk/index.php/public_html/article/view/9393
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author Alina Sadaf
Aqeela Rashid
Sadia Omer
author_facet Alina Sadaf
Aqeela Rashid
Sadia Omer
author_sort Alina Sadaf
collection DOAJ
description A 5 year old boy with acute lymphoblastic leukemia on chemotherapy presented with chest pain and vomiting for two days after an elective procedure under general anesthesia. His chest x-ray was remarkable for a prominent halo sign, an air gap surrounding the heart indicating a large pneumopericardium. Although the pneumopericardium could not be appreciated on an echocardiogram, the child developed clinical signs of cardiac tamponade. Attempts to evacuate the pneumopericardium were unsuccessful leading to death. Keywords: Pneumopericardium, Halo sign.
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spelling doaj.art-98c0a99aae46434ea413beb6323f2b3d2024-02-24T05:33:37ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822024-02-0174410.47391/JPMA.9393Pneumopericardium in a child – “halo sign” on chest x-ray: A Case ReportAlina Sadaf0Aqeela Rashid1Sadia Omer2Department of Pediatric Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, PakistanDepartment of Pediatric Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, PakistanDepartment of Pediatric Intensive Care, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan A 5 year old boy with acute lymphoblastic leukemia on chemotherapy presented with chest pain and vomiting for two days after an elective procedure under general anesthesia. His chest x-ray was remarkable for a prominent halo sign, an air gap surrounding the heart indicating a large pneumopericardium. Although the pneumopericardium could not be appreciated on an echocardiogram, the child developed clinical signs of cardiac tamponade. Attempts to evacuate the pneumopericardium were unsuccessful leading to death. Keywords: Pneumopericardium, Halo sign. https://ojs.jpma.org.pk/index.php/public_html/article/view/9393PneumopericardiumHalo sign
spellingShingle Alina Sadaf
Aqeela Rashid
Sadia Omer
Pneumopericardium in a child – “halo sign” on chest x-ray: A Case Report
Journal of the Pakistan Medical Association
Pneumopericardium
Halo sign
title Pneumopericardium in a child – “halo sign” on chest x-ray: A Case Report
title_full Pneumopericardium in a child – “halo sign” on chest x-ray: A Case Report
title_fullStr Pneumopericardium in a child – “halo sign” on chest x-ray: A Case Report
title_full_unstemmed Pneumopericardium in a child – “halo sign” on chest x-ray: A Case Report
title_short Pneumopericardium in a child – “halo sign” on chest x-ray: A Case Report
title_sort pneumopericardium in a child halo sign on chest x ray a case report
topic Pneumopericardium
Halo sign
url https://ojs.jpma.org.pk/index.php/public_html/article/view/9393
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