n SA Journal of Radiology - Large uncomplicated hydropneumopericardium : pictorial essay




A 45-year-old Malagasy man, with a 2-month medical history of chronic pericarditis, presented to the Department of Cardiology at Joseph Raseta Hospital with cardiac tamponade. Pericardiocentesis was performed, with improvement in the patient's clinical condition, following aspiration of 400 cc of serofibrinous fluid. The control chest X-ray revealed a hydropneumopericardium (Figs 1a and 1b). Following evaluation of the fluid, tuberculosis treatment was started with an adjunctive corticosteroid régimen and resultant complete resolution of all cardiac symptoms.


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