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The “Airgap” and “Swirling Bubbles” signs in a Patient with Esophageal Carcinoma
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  • Tiago Castro Pinto,
  • Tiago Martins,
  • Daniel Seabra de Carvalho,
  • Nuno Moreno
Tiago Castro Pinto
Hospital Pedro Hispano

Corresponding Author:[email protected]

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Tiago Martins
Hospital Pedro Hispano
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Daniel Seabra de Carvalho
Hospital Pedro Hispano
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Nuno Moreno
Hospital Pedro Hispano
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Abstract

Introduction: Pneumopericardium is a dreaded complication in esophageal carcinoma. Case description: We report a case of a 62 year old patient with past history of esophageal cancer with spontaneus pneumopericardium, without hemodynamic compromise. Admission echocardiogram that revealed a pneumopericadium with the presence of the “swirling bubbles” and the “air gap” sign. A small esophagopericardial fistula was postulated as the cause of the pneumopericardium. He underwent esophageal stent placement with resolution of the pneumopericardium. Discussion: Pneumopericardium is usually a sign of marked clinical deterioration in neoplasia and leads to patients’ death few weeks. Here we presented a case, in which a more fortunate and unusual outcome happened.
19 May 2022Submitted to Echocardiography
20 Jun 2022Submission Checks Completed
20 Jun 2022Assigned to Editor
01 Jul 2022Reviewer(s) Assigned
16 Aug 2022Review(s) Completed, Editorial Evaluation Pending
17 Aug 2022Editorial Decision: Revise Major
30 Sep 20221st Revision Received
12 Oct 2022Submission Checks Completed
12 Oct 2022Assigned to Editor
12 Oct 2022Reviewer(s) Assigned
08 Nov 2022Review(s) Completed, Editorial Evaluation Pending
14 Nov 2022Editorial Decision: Revise Minor
18 Nov 20222nd Revision Received
18 Nov 2022Submission Checks Completed
18 Nov 2022Assigned to Editor
18 Nov 2022Review(s) Completed, Editorial Evaluation Pending
30 Nov 2022Editorial Decision: Accept