Pneumopericardium mimicking acute myocardial ischemia after laparoscopic cholecystectomy

Pneumopericardium occurred after laparoscopic cholecystectomy in a 57-year- old woman. The patient had chest pain accompanied by T-wave inversion on el ectrocardiogram, with signs and symptoms suggestive of acute myocardial isc hemia, Evaluation for myocardial infarction, however, was negative and clin ical findings resolved spontaneously. Although pneumopericardium after lapa roscopic procedures has been previously reported, this case illustrates how associated finding may mimic those of acute myocardial ischemia or infarct ion.