Key result
Direct observation of the pleural space using a thoracoscope was necessary to definitively diagnose and repair a right-sided pericardial rupture, as the severity of pleural air on imaging was misleading.
Population
1 patient, a 62-year-old man with blunt chest trauma, bilateral pneumothorax, and pneumopericardium.
Design
Case_report
Follow-up
3 days
Authors
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CT pleural air may mislead on pericardial rupture side; case evidence leaves open thoracoscopy for definitive diagnosis.
Case Report (n=1)
No
The extent of pleural air on CT is not always reliable for identifying the injured side of a traumatic pericardial rupture, highlighting the need for direct thoracoscopic observation.
Kamiyoshihara et al. (2015) conducted a case report in Traumatic pericardial rupture (n=1). Thoracoscopic exploration and surgical repair was evaluated on Successful identification and repair of pericardial rupture. Direct observation of the pleural space using a thoracoscope was necessary to definitively diagnose and repair a right-sided pericardial rupture, as the severity of pleural air on imaging was misleading.
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