Tension pneumopericardium is a rare disease that is very difficult to diagnose. A 3-year old child was run over by a minibus. Computed tomography showed bilateral pneumothorax, multiple rib fractures on both sides, and a hepatic laceration. The massive blunt thoracic trauma caused entrapped air in the pericardium, and a tension pneumoprecordium developed abruptly. We report this unique case of tension pneumopericardium in a child, and the subsequent emergency surgery and damage control measures.
BalciAEKazezAErenSAyanEÖzalpKErenMN. Blunt thoracic trauma in children: review of 137 cases. Eur J Cardiothorac Surg2004; 26: 387–392.
4.
GarciaVFGotschallCSEichelbergerMRBowmanLM. Rib fractures in children: a marker of severe trauma. J Trauma1990; 30: 695–700.
5.
MurilloCAOwens-StovallSKKimSThomasRPChungDH. Delayed cardiac tamponade after blunt chest trauma in a child. J Trauma2002; 52: 573–575.
6.
SchnürigerBStuderPCandinasDSeilerCA. Transdiaphragmatic resuscitative open cardiac massage: description of the technique and a first case-series of an alternative approach to the heart. World J Surg2014; 38: 1726–1729.
7.
FitzgeraldMSpencerJJohnsonFMarascoSAtkinCKossmannT. Definitive management of acute cardiac tamponade secondary to blunt trauma. Emerg Med Australas2005; 17: 494–499.
