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{
    "pk": 1006,
    "title": "Pneumopericardium after Laparoscopic Hernia Repair Presents with ST-segment Changes: A Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n Although rare, iatrogenic cases of pneumopericardium have been documented following laparoscopic surgery and mechanical ventilation. Electrocardiogram (ECG) changes, including ST-segment depressions and T-wave inversions, have been documented in cases of pneumopericardium, and can mimic more concerning causes of chest pain including myocardial ischemia or pulmonary embolism.\nCase Report:\n This unique case describes a patient who presented with chest pain and ST-segment changes on ECG hours after a laparoscopic inguinal hernia repair and who was found to have pneumopericardium.\nConclusion:\n While iatrogenic pneumopericardium is often self-limiting and rarely requires intervention, it is critical to differentiate pneumopericardium from other etiologies of chest pain, including myocardial ischemia and pulmonary embolism, to prevent unnecessary intervention.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "case report"
        },
        {
            "word": "pneumopericardium"
        },
        {
            "word": "Hamman’s sign"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4hw3w1hm",
    "frozenauthors": [
        {
            "first_name": "Demi",
            "middle_name": "",
            "last_name": "Galindo",
            "name_suffix": "",
            "institution": "University of Washington School of Medicine, Seattle, Washington",
            "department": "None"
        },
        {
            "first_name": "Emily",
            "middle_name": "",
            "last_name": "Martin",
            "name_suffix": "",
            "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington",
            "department": "None"
        },
        {
            "first_name": "Douglas",
            "middle_name": "",
            "last_name": "Franzen",
            "name_suffix": "",
            "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington",
            "department": "None"
        }
    ],
    "date_submitted": "2021-03-25T03:27:47+01:00",
    "date_accepted": "2021-03-25T03:27:47+01:00",
    "date_published": "2021-03-25T03:28:26+01:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1006/galley/753/download/"
        }
    ]
}