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Occult pneumopericardium after isolated blunt chest trauma
  1. Dubravka Bartolek Hamp1,2,
  2. Renata Letica Brnadić3,
  3. Gordana Cavrić4,
  4. Nikica Daraboš5
  1. 1 Anesthesiology, Reanimation and Intensive Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
  2. 2 Josip Juraj Strossmayer University of Osijek Faculty of Medicine, Osijek, Croatia
  3. 3 Anesthesiology and Intensive Care Medicine, Clinical Hospital Sisters of Mercy Clinic for Traumatology, Zagreb, Croatia
  4. 4 Clinic of Internal Medicine, Emergency Department, Merkur Clinical Hospital, Zagreb, Croatia
  5. 5 Clinic of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
  1. Correspondence to Dr Dubravka Bartolek Hamp, Anesthesiology, Reanimation and Intensive Medicine, University Hospital Centre Zagreb, Zagreb 10000, Croatia; dbartolekh{at}

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A 57-year-old man was admitted to our hospital after a 5-metre fall. He complained of chest pain and shortness of breath. Breath sounds over the left-hemithorax were weak; no heart murmur was heard. Tachypnoea (25 breaths/min), tachycardia (95 beats/min), hypotension (110/60 mm Hg) and hypoxia (88% SpO2) were noted. Multislice CT revealed an isolated blunt chest injury (BCI) with pneumopericardium (air within the pericardial cavity) (figure 1), which was not initially identified on radiographs and was defined as an occult injury.1 A …

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  • Contributors DBH conceived of and designed the research. RLB analysed and interpreted MSCT images. GC emphasised the educational part of the text. ND critically revised and summarised the content of the work and gave the final approval of the paper. DBH takes responsibility for the paper as a whole.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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