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The “Airgap” and “Swirling Bubbles” signs in a Patient with Esophageal Carcinoma
  • +1
  • Tiago Castro Pinto,
  • Tiago Martins,
  • Daniel Seabra de Carvalho,
  • Nuno Moreno
Tiago Castro Pinto
Hospital Pedro Hispano
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Tiago Martins
Hospital Pedro Hispano
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Daniel Seabra de Carvalho
Hospital Pedro Hispano
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Nuno Moreno
Hospital Pedro Hispano
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Abstract

Introduction: Pneumopericardium is a dreaded complication in esophageal carcinoma. Case description: We report a case of a 62 year old patient with past history of esophageal cancer with spontaneus pneumopericardium, without hemodynamic compromise. Admission echocardiogram that revealed a pneumopericadium with the presence of the “swirling bubbles” and the “air gap” sign. A small esophagopericardial fistula was postulated as the cause of the pneumopericardium. He underwent esophageal stent placement with resolution of the pneumopericardium. Discussion: Pneumopericardium is usually a sign of marked clinical deterioration in neoplasia and leads to patients’ death few weeks. Here we presented a case, in which a more fortunate and unusual outcome happened.
19 May 2022Submitted to Echocardiography
20 Jun 2022Assigned to Editor
20 Jun 2022Submission Checks Completed
01 Jul 2022Reviewer(s) Assigned