:2158 (15 May 2021) DOI:10.22122/arya.v17i0.2158

Isolated pneumopericardium; An extremely rare complication following active resuscitation in a term neonate

Santosh Kumar Sinha, Puneet Aggarwal, Sidhdarth Samrat, Umeshwar Pandey, Vinay Krishna

DOI: http://dx.doi.org/10.22122/arya.v17i0.2158


BACKGROUND: Pneumopericardium, presence of air in pericardial cavity, is rare entity with potentially severe complications and mortality. In the neonatal period, it is associated with prematurity, low birth weight, and assisted ventilation, but in full term neonates its occurrence after resuscitation is exceedingly rare.

CASE REPORT: Our patient was a 2-day old full term neonate who developed respiratory distress following active resuscitation which was carried out at the time of birth in lieu of perinatal asphyxia. He was immediately put on mechanical ventilatory support. Chest x-ray showed a "halo sign"- rim
of air completely surrounding the heart, and echocardiography confirmed pneumopericardium with cardiac tamponade. Pericardiocentesis was performed as a life saving measure.

CONCLUSION: He was successfully discharged on the tenth day following sheath removal, and is doing fine on follow up.


Pneumopericardium; Pericardiocentesis; Cardiac Tamponade

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Mansfield PB, Graham CB, Beckwith JB, Hall DG, Sauvage LR. Pneumopericardium and pneumomediastinum in infants and children.

J Pediatr Surg 1973; 8(5): 691-9.

Suryawanshi P, Klimek J. Preterm neonate with spontaneous pneumopericardium without any other associated air leaks. J Clin Diagn Res 2014; 8(1): 181-2.

Burt TB, Lester PD. Neonatal pneumopericardium. Radiology 1982; 142(1): 81-4.

Junghaenel S, Sreeram N, Demant A, Vierzig A, Kribs A, Roth B. Pneumopericardium as a rare complication of continuous positive airway pressure in spontaneously breathing neonates. Klin Padiatr 2012; 224(1): 34-5.

Hook B, Hack M, Morrison S, Borawski-Clark E, Newman NS, Fanaroff A. Pneumopericardium in very low birth weight infants. J Perinatol 1995; 15(1): 27-31

Trujillo MH, Fragachan CF, Tortoledo F. Cardiac tamponade due to pneumopericardium. Cardiology 2006; 105(1): 34-6.

Narasimhan R, Krishnamurthy S. A review of non-invasive ventilation support in neonates. Paediatr Child Health 2014; 24(1): 7-11.

Suresh P, Tagare A, Kadam S, Vaidya U, Pandit A. Spontaneous pneumopericardium in a healthy full-term neonate. Indian J Pediatr 2011; 78(11): 1410-1.

.Roychoudhury S, Kaur S, Soraisham AS. Neonatal pneumopericardium in a nonventilated term infant: A case report and review of the literature. Case Rep Pediatr 2017; 2017: 3149370.

Lawson EE, Gould JB, Taeusch HW Jr. Neonatal pneumopericardium: Current management. J Pediatr Surg 1980; 15(2): 181-5.


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