Pneumopericardium is the presence of air in the pericardial sac.
Pneumopericardium after pericardiocentesis has been rarely reported in
the literature. In the present case, we report a patient who presented
with tamponade physiology during COVID-19 and developed
pneumopericardium after emergency pericardiocentesis. Immediate
recognition and treatment are crucial and chest X-ray, thorax
computerized tomography and transthoracic echocardiography are used for
diagnosis.