Traumatic pneumopericardium following a suicide attempt by high fall in an adolescent girl

Pneumopericardium is a rare complication of blunt chest trauma, particularly in pediatric patients. We report the case of a 14-year-old girl who sustained a fall from the fourth floor in a suicide attempt. She presented with hypotension and pelvic pain. Imaging revealed a pneumopericardium, a minimal pneumothorax, and vertebral and pelvic fractures. She underwent percutaneous decompression with favorable outcome. This case highlights the importance of considering pneumopericardium in pediatric trauma after high-energy falls.