tailieunhanh - Báo cáo y học: " Pneumopericardium should be considered with electrocardiogram changes after blunt chest trauma: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Pneumopericardium should be considered with electrocardiogram changes after blunt chest trauma: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Pneumopericardium should be considered with electrocardiogram changes after blunt chest trauma a case report Arjan JM Konijn 1 Peter HM Egbers1 and Michael A Kuiper1 2 Address Department of Intensive Care Medical Centre Leeuwarden 8901 BR Leeuwarden The Netherlands and 2Department of Intensive Care Academic Medical Centre 1100 DD Amsterdam The Netherlands Email Arjan JM Konijn - Peter HM Egbers - Michael A Kuiper - Corresponding author Published 4 April 2008 Received 5 November 2007 Journal of Medical Case Reports 2008 2 100 doi 1752-1947-2-100 Accepted 4 April 2008 This article is available from http content 2 1 100 2008 Konijn et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract__ Introduction Electrocardiogram ECG abnormalities in patients with blunt chest trauma are diverse and non-specific but may be indicative of potentially life-threatening conditions. Case presentation We report a rare case of pneumopericardium with extreme ECG abnormalities after blunt chest trauma in a 22-year-old male. The diagnosis was confirmed using computed tomography CT scanning. The case is discussed together with its differential diagnosis and the aetiology of pneumopericardium and tension pneumopericardium. Conclusion Pneumopericardium should be distinguished from other pathologies such as myocardial contusion and myocardial infarction because of the possible development of tension pneumopericardium. Early CT scanning is important in the evaluation of blunt chest trauma. Introduction When an .