title: Penumopericardium due to transdiaphragmatic perforation of a gastric ulcer.
abstract: A 65-year-old man presented with cardiogenic shock and massive pneumopericardium. A gastropericardial fistula due to transdiaphragmatic penetration of a large fundal ulcer was documented radiographically and confirmed at autopsy. Previously recorded cases of penumopericardium complicating gastric ulcers or other diseases of the digestive tract are briefly reviewed.
mesh_terms: D000368:Aged; D003964:Diaphragm; D006801:Humans; D008297:Male; D010439:Peptic Ulcer Perforation / Q000150:complications* / Q000473:pathology; D011026:Pneumopericardium / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D011859:Radiography; D013276:Stomach Ulcer / Q000150:complications* / Q000473:pathology