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POLY-TRAUMA WITH PNEUMOPERICARDIUM AFTER ROAD TRAFFIC ACCIDENT IN A 22 YEARS OLD MALE: CASE REPORT

Dr. Osama Abdulhadi Sobh, Waad Fahad Almutairi, Zuhour Salem AlRasheedi, Nora Saleh Alsedrani

Pneumopericardium is defined as the presence of the air inside the pericardial space. It’s Rarely developed after blunting trauma, commonly it’s a symptomatic but in some cases, it may be developed to a cardiac tamponade and become a life-threatening situation. Diagnosis is done through an erect chest X-ray. Echocardiography and chest computed tomography scans can also support the diagnosis. Here is the report about 22 years old male patient, medically free came to the emergency department as a case of poly-trauma after road traffic accident with severe head injuries. Diagnosed as a case of pneumopericardium caused by blunt trauma after a road traffic accident. patient intubated and ventilated and bilateral ICD inserted, patient had refractory hypoxemia managed by lung protective strategy but low peep as the patient was peep unresponsive, patient treated for 39 days during which patient had tracheostomy. Finally, patient condition improved weaned from ventilator tracheostomy removed and discharged from hospital in good condition without any residual defect. Keywords: Pneumopericardium, Polytraumatic, Road traffic accident.

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