Abstract
IntroductionAlthough rare, iatrogenic cases of pneumopericardium have been documented following laparoscopic surgery and mechanical ventilation. Electrocardiogram (ECG) changes, including ST-segment depressions and T-wave inversions, have been documented in cases of pneumopericardium, and can mimic more concerning causes of chest pain including myocardial ischemia or pulmonary embolism.Case ReportThis unique case describes a patient who presented with chest pain and ST-segment changes on ECG hours after a laparoscopic inguinal hernia repair and who was found to have pneumopericardium.ConclusionWhile iatrogenic pneumopericardium is often self-limiting and rarely requires intervention, it is critical to differentiate pneumopericardium from other etiologies of chest pain, including myocardial ischemia and pulmonary embolism, to prevent unnecessary intervention.
Highlights
Rare, iatrogenic cases of pneumopericardium have been documented following laparoscopic surgery and mechanical ventilation
Case Report: This unique case describes a patient who presented with chest pain and STsegment changes on ECG hours after a laparoscopic inguinal hernia repair and who was found to have pneumopericardium
CASE REPORT A 26-year-old woman presented to the emergency department (ED) with chest pain radiating to the left shoulder, following a laparoscopic inguinal hernia repair performed several hours prior to presentation
Summary
Iatrogenic cases of pneumopericardium have been documented following laparoscopic surgery and mechanical ventilation. Electrocardiogram (ECG) changes, including ST-segment depressions and T-wave inversions, have been documented in cases of pneumopericardium, and can mimic more concerning causes of chest pain including myocardial ischemia or pulmonary embolism. Case Report: This unique case describes a patient who presented with chest pain and STsegment changes on ECG hours after a laparoscopic inguinal hernia repair and who was found to have pneumopericardium
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