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Updated: Oct 15, 2025

An Intact Pericardium Ischemic Rodent Model
Published on: September 2, 2021
A Rare Iatrogenic Trio: Pneumopericardium, Pneumoperitoneum, and Pericarditis
Bharadwaj Satyavolu1,2, Hamza A Lodhi1,2, Adithya Mathews1,2
1Department of Internal Medicine, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA.
Abstract:
We present a rare case of iatrogenic pneumopericardium, pneumoperitoneum, and Escherichia coli pericarditis after emergency pericardiocentesis for pericardial tamponade. The patient had profound bowel distention at the time of the procedure that led to iatrogenic pericardioperitoneal fistula formation along with transverse colon perforation, which manifested later after pericardial drain removal. This condition required repeat pericardiocentesis, laparoscopic colon repair, a long course of antibiotics, and an eventual pericardial window. (Level of Difficulty: Intermediate.).
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