Journal of Acute Disease

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

Gastropericardial fistula: a case report


Mehdi Zolfagharkhani1, Alireza Sanei Motlagh2, Sahar Oladzade1, Arefeh Babazadeh3, Soheil Ebrahimpour3 
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

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.


How to cite this article:
Zolfagharkhani M, Motlagh AS, Oladzade S, Babazadeh A, Ebrahimpour S. Gastropericardial fistula: a case report.J Acute Dis 2019;8:173-175


How to cite this URL:
Zolfagharkhani M, Motlagh AS, Oladzade S, Babazadeh A, Ebrahimpour S. Gastropericardial fistula: a case report. J Acute Dis [serial online] 2019 [cited 2022 Jun 29 ];8:173-175
Available from: https://www.jadweb.org/article.asp?issn=2221-6189;year=2019;volume=8;issue=4;spage=173;epage=175;aulast=Zolfagharkhani;type=0