A Rare Iatrogenic Trio: Pneumopericardium, Pneumoperitoneum, and Pericarditis

Bharadwaj Satyavolu, Hamza A. Lodhi, Adithya Mathews, Priya Bansal, Haider Altaii, Ramez Morcos, Anand Desai, Brijeshwar Maini, Houman Khalili

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


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.)

Original languageEnglish (US)
Pages (from-to)1519-1523
Number of pages5
JournalJACC: Case Reports
Issue number13
StatePublished - Oct 6 2021
Externally publishedYes


  • complication
  • pericardial effusion
  • tamponade

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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