Pneumopericárdio após traumatismo penetrante: relato de três casos

• Autor(a) principal: Spencer Netto,Fernando Antonio Campelo
• Data de Publicação: 2001
• Outros Autores: Melo,Jurandir Cavalcanti de Araújo, Granja,Fábio Antonio Amando
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista do Colégio Brasileiro de Cirurgiões
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912001000600016
• topic: Penetrating thoracic trauma; Pneumopericardium

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.