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The Macklin effect causing a pneumopericardium.

Sekhar, Aravind; Raheja, Prafull; Ikram, Sohail
Journal of Cardiovascular Medicine: Post Author Corrections: July 16, 2012
doi: 10.2459/JCM.0b013e328356bc37
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Pleuropericarditis is a common clinical entity that has been reported in association with several diseases. However, pleuropericarditis following blunt thoracic trauma is very rare and difficult to diagnose. Here we present a case of a young man who presented to the emergency department with acute shortness of breath following a motor vehicle accident. He was found to have a pleuro-pericardial communication worsened by barotrauma, resulting in tension pneumopericardium.

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