A delayed case of tension pneumopericardium after total gastrectomy

Daisuke Arashi; Katsuaki Tanaka; Taku Hamada; Tomoharu Funao; Ichiro Hase; Nobutaka Kariya; Takashi Mori; Kiyonobu Nishikawa

doi:10.1016/j.jclinane.2013.09.005

A delayed case of tension pneumopericardium after total gastrectomy

J Clin Anesth. 2014 Feb;26(1):58-61. doi: 10.1016/j.jclinane.2013.09.005. Epub 2014 Jan 17.

Authors

Daisuke Arashi¹, Katsuaki Tanaka², Taku Hamada³, Tomoharu Funao³, Ichiro Hase³, Nobutaka Kariya⁴, Takashi Mori³, Kiyonobu Nishikawa³

Affiliations

¹ Department of Anesthesiology, Osaka City General Hospital, Osaka, 534-0021, Japan.
² Department of Anesthesiology, Osaka City University Graduate School of Medicine, Osaka, 545-8586, Japan. Electronic address: katsuakitanakakatsuaki@gmail.com.
³ Department of Anesthesiology, Osaka City University Graduate School of Medicine, Osaka, 545-8586, Japan.
⁴ Department of Anesthesiology, Hyogo College of Medicine, Nishinomiya, Hyogo Prefecture, 663-8131, Japan.

PMID: 24440035
DOI: 10.1016/j.jclinane.2013.09.005

Abstract

A case of tension pneumopericardium that occurred after total gastrectomy in an 80 year old woman is presented. There have been some prior case reports of pneumopericardium that occurred during positive pressure ventilation; in this patient hypotension due to tension pneumopericardium occurred after extubation. Return of spontaneous ventilation with negative-pressure breathing may have induced air aspiration into the pericardial sac from the abdominal cavity.

Keywords: Gastrectomy; General anesthesia; Pneumopericardium.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Anesthesia, General / methods
Animals
Diagnosis, Differential
Electrocardiography / methods
Female
Follow-Up Studies
Gastrectomy / methods*
Heart / diagnostic imaging
Humans
Pericardium / diagnostic imaging
Pneumopericardium / diagnosis*
Postoperative Complications / diagnosis*
Tomography, X-Ray Computed / methods