EURORAD ESR

Case 15269

Pneumopericardium

Author(s)
Willian Schmitt, Catarina Baraças, Andreia Tereso, Ana Germano

Hospital Prof.Dr. Fernando Fonseca; IC 19 2720-276 Amadora; Email:schmitt.wr@gmail.com
 
Patient
female, 64 year(s)
 
 
  • Figure 1
    Initial abdomen CT study
     

    Axial CT demonstrating a left subdiaphragmatic abscess with a gas-filled cavity (arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Drainage; Special Focus: Abscess;

    Axial CT demonstrating a left subdiaphragmatic abscess with a gas-filled cavity (arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Drainage; Special Focus: Abscess;

    A percutaneous image-guided catheter drainage was performed (asterisk).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Drainage; Special Focus: Abscess;
     
     
  • Figure 2
    Upper gastrointestinal (UGI) endoscopy 
     

    Upper gastrointestinal endoscopy detected a esophagojejunal anastomosis leakage (arrow), which was managed endoscopically with a covered metal stent (asterisk).

     
    Area of Interest: Abdomen; Imaging Technique: Fluoroscopy; Procedure: Diagnostic procedure; Special Focus: Acute;

    Upper gastrointestinal endoscopy detected a esophagojejunal anastomosis leakage (arrow), which was managed endoscopically with a covered metal stent (asterisk).

     
    Area of Interest: Abdomen; Imaging Technique: Fluoroscopy; Procedure: Stents; Special Focus: Acute;
     
     
  • Figure 3
    Two weeks post-admission CT study
     

    CT scanogram revealed pneumopericardium (asterisk), with air surrounding the cardiac border, that does not extend beyond the reflection of the aorta or the pulmonary artery

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Education; Special Focus: Acute;

    Axial CT image, lung window, showing the air surrounding the cardiac border (asterisk).

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Education; Special Focus: Acute;

    Axial CT image demonstrating enhancing of both layers of the pericardium (arrows) suggesting an inflammatory etiology and bilateral pleural effusion (curved arrows).

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Education; Special Focus: Acute;

    Axial CT image demonstrating enhancing of both layers of the pericardium (arrows) suggesting an inflammatory etiology and bilateral pleural effusion (curved arrows).

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Education; Special Focus: Acute;
     
     
Axial CT demonstrating a left subdiaphragmatic abscess with a gas-filled cavity (arrow).
 
Axial CT demonstrating a left subdiaphragmatic abscess with a gas-filled cavity (arrow).
 
A percutaneous image-guided catheter drainage was performed (asterisk).
 
Upper gastrointestinal endoscopy detected a esophagojejunal anastomosis leakage (arrow), which was managed endoscopically with a covered metal stent (asterisk).
 
Upper gastrointestinal endoscopy detected a esophagojejunal anastomosis leakage (arrow), which was managed endoscopically with a covered metal stent (asterisk).
 
CT scanogram revealed pneumopericardium (asterisk), with air surrounding the cardiac border, that does not extend beyond the reflection of the aorta or the pulmonary artery
 
Axial CT image, lung window, showing the air surrounding the cardiac border (asterisk).
 
Axial CT image demonstrating enhancing of both layers of the pericardium (arrows) suggesting an inflammatory etiology and bilateral pleural effusion (curved arrows).
 
Axial CT image demonstrating enhancing of both layers of the pericardium (arrows) suggesting an inflammatory etiology and bilateral pleural effusion (curved arrows).
 
 
 
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