Cardiac A-lines in fast scan as a sign of pneumopericardium
Abstract Background Traumatic pneumopericardium is rare and usually results from blunt injury. Diagnosis through clinical and chest X-ray is often difficult. Ultrasound findings of A-line artifacts in the cardiac window may suggest pneumopericardium. Case presentation A young man involved in a car a...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2019-04-01
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| Series: | The Ultrasound Journal |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13089-019-0123-x |
| _version_ | 1818905898218684416 |
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| author | Julina Md Noor Elisa A. Eddie |
| author_facet | Julina Md Noor Elisa A. Eddie |
| author_sort | Julina Md Noor |
| collection | DOAJ |
| description | Abstract Background Traumatic pneumopericardium is rare and usually results from blunt injury. Diagnosis through clinical and chest X-ray is often difficult. Ultrasound findings of A-line artifacts in the cardiac window may suggest pneumopericardium. Case presentation A young man involved in a car accident and sustained blunt thoracic injuries, among others. As part of primary survey, FAST scan was performed. Subxiphoid view to look for evidence of pericardial effusion showed part of the cardiac image obscured by A-lines. Other cardiac windows showed only A-lines, as well. A suspicion of pneumopericardium was raised and CT scan confirmed the diagnosis. Conclusions Although FAST scan was originally used to look for presence of free fluid, with the knowledge of lung ultrasound for pneumothorax, our findings suggest that FAST scan can also be used to detect pneumopericardium. |
| first_indexed | 2024-12-19T21:30:39Z |
| format | Article |
| id | doaj.art-eebe2e195cc94add9835aaf7da0b7558 |
| institution | Directory Open Access Journal |
| issn | 2524-8987 |
| language | English |
| last_indexed | 2024-12-19T21:30:39Z |
| publishDate | 2019-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Ultrasound Journal |
| spelling | doaj.art-eebe2e195cc94add9835aaf7da0b75582022-12-21T20:04:55ZengSpringerOpenThe Ultrasound Journal2524-89872019-04-011111310.1186/s13089-019-0123-xCardiac A-lines in fast scan as a sign of pneumopericardiumJulina Md Noor0Elisa A. Eddie1Faculty of Medicine, Universiti Teknologi MARAEmergency & Trauma Department, Hospital Sg BulohAbstract Background Traumatic pneumopericardium is rare and usually results from blunt injury. Diagnosis through clinical and chest X-ray is often difficult. Ultrasound findings of A-line artifacts in the cardiac window may suggest pneumopericardium. Case presentation A young man involved in a car accident and sustained blunt thoracic injuries, among others. As part of primary survey, FAST scan was performed. Subxiphoid view to look for evidence of pericardial effusion showed part of the cardiac image obscured by A-lines. Other cardiac windows showed only A-lines, as well. A suspicion of pneumopericardium was raised and CT scan confirmed the diagnosis. Conclusions Although FAST scan was originally used to look for presence of free fluid, with the knowledge of lung ultrasound for pneumothorax, our findings suggest that FAST scan can also be used to detect pneumopericardium.http://link.springer.com/article/10.1186/s13089-019-0123-xPneumopericardiumUltrasoundTraumaCardiac |
| spellingShingle | Julina Md Noor Elisa A. Eddie Cardiac A-lines in fast scan as a sign of pneumopericardium The Ultrasound Journal Pneumopericardium Ultrasound Trauma Cardiac |
| title | Cardiac A-lines in fast scan as a sign of pneumopericardium |
| title_full | Cardiac A-lines in fast scan as a sign of pneumopericardium |
| title_fullStr | Cardiac A-lines in fast scan as a sign of pneumopericardium |
| title_full_unstemmed | Cardiac A-lines in fast scan as a sign of pneumopericardium |
| title_short | Cardiac A-lines in fast scan as a sign of pneumopericardium |
| title_sort | cardiac a lines in fast scan as a sign of pneumopericardium |
| topic | Pneumopericardium Ultrasound Trauma Cardiac |
| url | http://link.springer.com/article/10.1186/s13089-019-0123-x |
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