Chest CT in diagnosis of fire pericardial contusion

Akhiev M.I.; Kitaev V.M.; Zagorulko O.I.; Koshelev E.G.

doi:https://doi.org/10.17116/hirurgia202511229

M.I. Akhiev

National Medical Research Center for High Medical Technologies — Vishnevsky Central Military Clinical Hospital;
Branch of the Kirov Military Medical Academy

ORCID: 0009-0005-6853-162X

V.M. Kitaev

National Medical Research Center for High Medical Technologies — Vishnevsky Central Military Clinical Hospital;
Central State Medical Academy

ORCID: 0009-0009-5153-9405

O.I. Zagorulko

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-2713-9577

E.G. Koshelev

Central State Medical Academy of Administrative Directorate of the President of the Russian Federation;
Clinical Hospital of Administrative Directorate of the President of the Russian Federation

SPIN RSCI: 1596-2537
ORCID: 0000-0002-5494-0327

Chest CT in diagnosis of fire pericardial contusion

Authors:

M.I. Akhiev, V.M. Kitaev, O.I. Zagorulko, E.G. Koshelev

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(11‑2): 29‑37

DOI: 10.17116/hirurgia202511229

Read: 349 times

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To cite this article:

Akhiev MI, Kitaev VM, Zagorulko OI, Koshelev EG. Chest CT in diagnosis of fire pericardial contusion. Pirogov Russian Journal of Surgery. 2025;(11‑2):29‑37. (In Russ.)
https://doi.org/10.17116/hirurgia202511229

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

Abstract:

The ability to diagnose gunshot pericardial contusion using chest CT is established. Pericardial contusion is diagnosed in 45.1% of mine blast chest wounds. Primary CT signs of contusion are pericardial edema and hemopericardium. Edema corresponds to pericardial leaflet thickening up to 2—3 mm. Pericardial thickness exceeding 3 mm indicates blood accumulation.

Keywords:

gunshot wounds of the heart

CT visualization of pericardium

chest cavity

Authors:

M.I. Akhiev

National Medical Research Center for High Medical Technologies — Vishnevsky Central Military Clinical Hospital;
Branch of the Kirov Military Medical Academy

ORCID: 0009-0005-6853-162X

V.M. Kitaev

National Medical Research Center for High Medical Technologies — Vishnevsky Central Military Clinical Hospital;
Central State Medical Academy

ORCID: 0009-0009-5153-9405

O.I. Zagorulko

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-2713-9577

E.G. Koshelev

Central State Medical Academy of Administrative Directorate of the President of the Russian Federation;
Clinical Hospital of Administrative Directorate of the President of the Russian Federation

SPIN RSCI: 1596-2537
ORCID: 0000-0002-5494-0327

Received:

11.08.2025

Accepted:

23.09.2025

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References:

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