[Gastropericardial fistula. Late complication of the treatment of hiatal hernia].
An exceptional case of gastropericardial fistula is reported, the lesion developing from a gastric ulcer on an antireflux valve instituted ten years previously. A literature review showed 31 similar cases: 14 gastropericardial fistulae, 16 esophagopericardial fistulae and one jejunopericardial fistula. Three features common to all these fistulae were determined: the frequency of hiatus hernia in the genesis of these lesions, either from an ulcer on esophagitis or herniated stomach or from surgical complication; the extremely high mortality of these fistulae (68% mortality); the need for aggressive treatment.
D000368:Aged; D004937:Esophageal Fistula / Q000209:etiology; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D005747:Gastric Fistula / Q000209:etiology*; D006548:Hernia, Diaphragmatic / Q000601:surgery*; D006551:Hernia, Hiatal / Q000601:surgery*; D006801:Humans; D010496:Pericardium; D011183:Postoperative Complications / Q000209:etiology*; D011379:Prognosis; D011859:Radiography
Fistule gastro-péricardique. Complication tardive d'une cure de hernie hiatale.