Pneumopericárdio após traumatismo penetrante: relato de três casos

Pneumopericardium after penetrating wound represents a high suspicion for cardiac wound. Some authors recommend thoracotomy to discharge a cardiac lesion. We present three cases of post-traumatic pneumopericardium one following a gunshot wound and two following a stab wound and discuss about diagnos...

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Main Authors: Fernando Antonio Campelo Spencer Netto, Jurandir Cavalcanti de Araújo Melo, Fábio Antonio Amando Granja
Format: Article
Language:English
Published: Colégio Brasileiro de Cirurgiões
Series:Revista do Colégio Brasileiro de Cirurgiões
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912001000600016&lng=en&tlng=en
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author Fernando Antonio Campelo Spencer Netto
Jurandir Cavalcanti de Araújo Melo
Fábio Antonio Amando Granja
author_facet Fernando Antonio Campelo Spencer Netto
Jurandir Cavalcanti de Araújo Melo
Fábio Antonio Amando Granja
author_sort Fernando Antonio Campelo Spencer Netto
collection DOAJ
description Pneumopericardium after penetrating wound represents a high suspicion for cardiac wound. Some authors recommend thoracotomy to discharge a cardiac lesion. We present three cases of post-traumatic pneumopericardium one following a gunshot wound and two following a stab wound and discuss about diagnosis and treatment. None showed clinical signs of cardiac tamponade. Diagnosis was made by chest x-ray. Pneumopericardium was identified at the initial evaluation in two patients, who had concomitant hemothorax and underwent chest drainage. The patient with penetrating thoracic wound by gunshot pneumopericardium developed 24h after trauma. Treatment was directed to the associated lesions without specific measurements for pneumopericardium. This aproach was safe in these patients.
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spelling doaj.art-d890c292a3f0403eb0ac960a4cd4265e2022-12-22T03:54:37ZengColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões1809-454628646646910.1590/S0100-69912001000600016S0100-69912001000600016Pneumopericárdio após traumatismo penetrante: relato de três casosFernando Antonio Campelo Spencer Netto0Jurandir Cavalcanti de Araújo Melo1Fábio Antonio Amando Granja2Hospital da RestauraçãoUniversidade Federal de PernambucoSUS/PEPneumopericardium after penetrating wound represents a high suspicion for cardiac wound. Some authors recommend thoracotomy to discharge a cardiac lesion. We present three cases of post-traumatic pneumopericardium one following a gunshot wound and two following a stab wound and discuss about diagnosis and treatment. None showed clinical signs of cardiac tamponade. Diagnosis was made by chest x-ray. Pneumopericardium was identified at the initial evaluation in two patients, who had concomitant hemothorax and underwent chest drainage. The patient with penetrating thoracic wound by gunshot pneumopericardium developed 24h after trauma. Treatment was directed to the associated lesions without specific measurements for pneumopericardium. This aproach was safe in these patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912001000600016&lng=en&tlng=enPenetrating thoracic traumaPneumopericardium
spellingShingle Fernando Antonio Campelo Spencer Netto
Jurandir Cavalcanti de Araújo Melo
Fábio Antonio Amando Granja
Pneumopericárdio após traumatismo penetrante: relato de três casos
Revista do Colégio Brasileiro de Cirurgiões
Penetrating thoracic trauma
Pneumopericardium
title Pneumopericárdio após traumatismo penetrante: relato de três casos
title_full Pneumopericárdio após traumatismo penetrante: relato de três casos
title_fullStr Pneumopericárdio após traumatismo penetrante: relato de três casos
title_full_unstemmed Pneumopericárdio após traumatismo penetrante: relato de três casos
title_short Pneumopericárdio após traumatismo penetrante: relato de três casos
title_sort pneumopericardio apos traumatismo penetrante relato de tres casos
topic Penetrating thoracic trauma
Pneumopericardium
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912001000600016&lng=en&tlng=en
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