title: Successful medical management of esophagopericardial fistula.
abstract: Esophagopericardial fistula is a rare condition, usually presenting with cardiac tamponade, and is invariably fatal in the adult patient. In our patient the disorder resulted from fistulization secondary to a malignant tumor. Immediate decompression of resultant tense pneumopericardium can be accomplished safely through percutaneous pericardiocentesis without the need for surgery. Rarely, as in the present case, spontaneous closure of esophagopericardial fistula is encountered.
mesh_terms: D004937:Esophageal Fistula / Q000628:therapy*; D005260:Female; D005402:Fistula / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D010496:Pericardium