Niakara A, Bougouma A, Cisse R
Service de Cardiologie, Centre Hospitalier National Yalgado Ouédraogo (CHNYO), Ouagadougou, Burkina Faso.
Ann Cardiol Angeiol (Paris). 1999 Jun;48(6):441-5.
Pneumopericardium usually occurs in a traumatic context or, more rarely, in the course of benign or malignant bronchial or oesophagogastric diseases. Although the idiopathic spontaneous form is even rarer, pneumopericardium complicating liver abscess is exceptional, and is facilitated by impaired immune defenses (alcoholism, immuno-depression). The authors report a case of liver abscess complicated by pneumopericardium in an HIV seropositive patient. The nature of the abscess, the mechanism of the pneumopericardium and the therapeutic management are discussed.
纵隔气肿通常发生于创伤情况下,或更罕见地,发生于良性或恶性支气管或食管胃疾病病程中。虽然特发性自发形式更为罕见,但肝脓肿并发纵隔气肿则极为罕见,免疫防御受损(酗酒、免疫抑制)会促使其发生。作者报告了1例HIV血清阳性患者肝脓肿并发纵隔气肿的病例。文中讨论了脓肿的性质、纵隔气肿的机制及治疗处理。