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Congenital partial pericardial defect confirmed based on spontaneous pneumothorax: A case report and literature review
INTRODUCTION: Congenital pericardial defects are rare but can cause fatal complications. Most cases are asymptomatic and incidentally detected during a thoracic surgery or autopsy. We report a case of a partial pericardial defect confirmed based on spontaneous pneumothorax. PRESENTATION OF CASE: A 1...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7509363/ https://www.ncbi.nlm.nih.gov/pubmed/32966931 http://dx.doi.org/10.1016/j.ijscr.2020.09.085 |
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author | Date, Naoki Komatsu, Teruya Fujinaga, Takuji |
author_facet | Date, Naoki Komatsu, Teruya Fujinaga, Takuji |
author_sort | Date, Naoki |
collection | PubMed |
description | INTRODUCTION: Congenital pericardial defects are rare but can cause fatal complications. Most cases are asymptomatic and incidentally detected during a thoracic surgery or autopsy. We report a case of a partial pericardial defect confirmed based on spontaneous pneumothorax. PRESENTATION OF CASE: A 16-year-old boy with left spontaneous pneumothorax showed pneumopericardium on chest X-ray. Chest computed tomography revealed a partial pericardial defect. Video-assisted thoracoscopic surgery was performed, and a small pericardial defect was confirmed at the level of the upper pulmonary hilum. We did not reconstruct the defect because of the improbability of cardiac herniation. DISCUSSION: Pneumopericardium combined with pneumothorax suggests the existence of a pericardial foramen. Partial pericardial defects could cause cardiac herniation or strangulation, and pneumothorax may worsen the protruding of the heart. Video-assisted thoracic surgery is an effective method to prevent the recurrence of pneumothorax and determine whether reconstruction of the defect is required. CONCLUSION: Video-assisted thoracic surgery should be performed in the case of a pericardial defect combined with pneumothorax. |
format | Online Article Text |
id | pubmed-7509363 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-75093632020-09-28 Congenital partial pericardial defect confirmed based on spontaneous pneumothorax: A case report and literature review Date, Naoki Komatsu, Teruya Fujinaga, Takuji Int J Surg Case Rep Case Report INTRODUCTION: Congenital pericardial defects are rare but can cause fatal complications. Most cases are asymptomatic and incidentally detected during a thoracic surgery or autopsy. We report a case of a partial pericardial defect confirmed based on spontaneous pneumothorax. PRESENTATION OF CASE: A 16-year-old boy with left spontaneous pneumothorax showed pneumopericardium on chest X-ray. Chest computed tomography revealed a partial pericardial defect. Video-assisted thoracoscopic surgery was performed, and a small pericardial defect was confirmed at the level of the upper pulmonary hilum. We did not reconstruct the defect because of the improbability of cardiac herniation. DISCUSSION: Pneumopericardium combined with pneumothorax suggests the existence of a pericardial foramen. Partial pericardial defects could cause cardiac herniation or strangulation, and pneumothorax may worsen the protruding of the heart. Video-assisted thoracic surgery is an effective method to prevent the recurrence of pneumothorax and determine whether reconstruction of the defect is required. CONCLUSION: Video-assisted thoracic surgery should be performed in the case of a pericardial defect combined with pneumothorax. Elsevier 2020-09-15 /pmc/articles/PMC7509363/ /pubmed/32966931 http://dx.doi.org/10.1016/j.ijscr.2020.09.085 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Date, Naoki Komatsu, Teruya Fujinaga, Takuji Congenital partial pericardial defect confirmed based on spontaneous pneumothorax: A case report and literature review |
title | Congenital partial pericardial defect confirmed based on spontaneous pneumothorax: A case report and literature review |
title_full | Congenital partial pericardial defect confirmed based on spontaneous pneumothorax: A case report and literature review |
title_fullStr | Congenital partial pericardial defect confirmed based on spontaneous pneumothorax: A case report and literature review |
title_full_unstemmed | Congenital partial pericardial defect confirmed based on spontaneous pneumothorax: A case report and literature review |
title_short | Congenital partial pericardial defect confirmed based on spontaneous pneumothorax: A case report and literature review |
title_sort | congenital partial pericardial defect confirmed based on spontaneous pneumothorax: a case report and literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7509363/ https://www.ncbi.nlm.nih.gov/pubmed/32966931 http://dx.doi.org/10.1016/j.ijscr.2020.09.085 |
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