Rare Case of Pneumopericardium As A Complication of Bronchoigenic Carcinoma
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 1
Abstract
A 60 year old female presented with complaints of chest pain and breathlessness since 1 week. She was a known case of pulmonary tuberculosis and was on treatment for the same. Her chest x ray showed presence of gross pneumopericardium. 2D ECHO was apparently normal. HRCT thorax was suggestive of Koch’s sequel in the form of gross pneumopericardium with cavitatory changes and consolidation in left lung and an ill-defined soft tissue density lesion in left main bronchus. Left antero –lateral thoracotomy with pericardectomy with pleuro – pericardial fistula closure with glue insertion was performed. She was discharged on the 5th postoperative day. After 10 days she presented with complaintsof bilateral lower limb weakness since 1 week. MRI spine revealed compressive lesion at level of D 7 probably of infective etiology. Her tissue biopsy(fistulous tract) showed features suggestive of squamous cell carcinoma – bronchogenic carcinoma.
Authors and Affiliations
Dr. Sobu Mathews, Dr. Aprajita Pradhan, Dr. Aakash Doshi, Dr. A. P. Parikh, Dr. N. N. Suthar, Dr. K. L. Patel
Keywords
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- EP ID EP590706
- DOI 10.9790/0853-1601098890.
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