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CASE REPORT
Year : 2019  |  Volume : 8  |  Issue : 4  |  Page : 173-175

Gastropericardial fistula: a case report


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, Iran

Correspondence Address:
Mehdi Zolfagharkhani
Radiology department, Imam Khomeini hospital, Mazandaran University of medical sciences, Sari
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2221-6189.263712

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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.


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