Spontaneous Gastropericardial Fistula

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To the Editor:

Perforation from the digestive tract into the pericardium is a rare occurrence in emergency departments. Its diagnosis is therefore usually delayed, with resulting unfavorable consequences for the patient.1Furthermore, there is no general agreement as to the management of this condition. We report a case of "spontaneous" gastropericardial fistula and discuss how to ensure the best chances for survival in such patients.

A 73-year-old woman presented with hypotension and fever occurring 12 hours

References (7)

  • JP Letoquart et al.

    Les fistules gastro-péricardiques: Revue de la littérature á propos d’un cas original

    J Chir (Paris)

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  • P Marik

    Pneumopyopericardium after penetrating chest injury

    AJR

    ([object Object])
  • AD Vennos et al.

    Pneumopericardium secondary to esophageal carcinoma

    Radiology

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Cited by (8)

  • Delayed fistulisation from esophageal replacement surgery

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    This has been described without tamponade in two adult cases with a large gastroesophageal ulcer eroding into the pericardium and successfully managed surgically.14,23 Several authors have used upper GI endoscopy intraoperatively for diagnosis.14,21,24 Due to our first patient's presentation, we elected against performing endoscopy.

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