Gastropericardial fistula: a case report  

作　　者：Sahar Oladzade Mehdi Zolfagharkhani Alireza Sanei Motlagh Arefeh Babazadeh Soheil Ebrahimpour 

机构地区：[1]Radiology Department,Imam Khomeini Hospital,Mazandaran University of Medical Sciences,Sari,Iran [2]Student Research Committee,Mazandaran University of Medical Sciences,Sari,Iran [3]Infectious Diseases and Tropical Medicine Research Center,Health Research Institute,Babol University of Medical Sciences,Babol,I.R.Iran

出　　处：《Journal of Acute Disease》2019年第4期173-175,共3页急性病杂志（英文版）

摘　　要：Rationale: Gastropericardial fistula is a rare condition in which the patient presented with chest pain, dyspnea, tachycardia, pneumo/hydropericardium, or pericarditis. Alcohol intake or previous history of gastroesophageal surgery made the patient susceptible to fistula formation. Patient concerns: An 80-year-old male complained of sudden onset of dyspnea and respiratory distress. Nausea, hematemesis, and constipation were noted on clinical examination. Diagnosis: Herniation of the gastric fundus and massive pneumopericardium due to formation of fistula in the lesser curvature. Interventions: Urgent surgery was performed. Outcomes: The patient was discharged without any complication. Lessons: Although the lethal form of this condition is rare, gastroepicardial fistula should be included in the differential diagnosis workup of cases with stomach cardia and fundus ulceration.

关 键 词：Gastropericardial FISTULA DIAPHRAGMATIC HERNIA PERICARDITIS PNEUMOPERICARDIUM 

分 类 号：R73[医药卫生—肿瘤]