Korean J Med > Volume 86(5); 2014 > Article
The Korean Journal of Medicine 2014;86(5):612-617.
Published online May 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.86.5.612   
Negative Pressure Pulmonary Edema Together with Pneumopericardium after General Anesthesia
Cheol Gu Hwang, Jae Hoon Choi, Hong Jae Kim, Seong Pil Jang, Jae Gyu Shin, Dong Hoon Han, Mi Jin Yang
Department of Internal Medicine, Busan Medical Center, Busan, Korea
전신 마취 후에 동시에 발생한 음압성 폐부종과 심막기종
황철구, 최재훈, 김홍제, 장성필, 신재규, 한동훈, 양미진
부산의료원 내과
Correspondence: 
Mi Jin Yang, Tel: +82-51-607-2126, Fax: +82-51-607-2807, Email: sollae@hanmail.net
Received: 30 April 2013   • Revised: 30 May 2013   • Accepted: 12 July 2013
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Negative pressure pulmonary edema is an uncommon complication related to general anesthesia. Its main pathophysiology is excessive negative intrathoracic pressure that is caused by an acute upper airway obstruction. Pneumopericardium, the presence of air within the pericardial sac, is another rare condition. The common pathophysiology of pneumopericardium, except for that caused by blunt or penetrating trauma, is barotrauma-induced alveolar rupture caused by positive intrathoracic pressure. Here, we report the case of a 61-year old female patient with negative pulmonary edema and pneumopericardium after general anesthesia. She recovered after conservative management. (Korean J Med 2014;86:612-617)
Key Words: General anesthesia; Pulmonary edema; Pneumopericardium
주제어: 전신 마취; 음압성 폐부종; 심막기종


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