[Pneumopericardium caused by gastropericardial fistula].
This is the case of a 56-year-old male who presented at our Emergency Room complaining of severe epigastric pain that radiated towards the left shoulder and neck. Pneumopericardium was diagnosed with plain chest X-rays, which indicated a gastropericardial fistula. A contrast X-ray film was taken using a water-soluble contrast. A full gastrectomy was performed with esophagojejunostomy reconstruction and pericardial drainage, which resulted in a favourable patient outcome.
Ruano Poblador
A
A
Servicio de Cirugía General y del Aparato Digestivo, Complejo Hospitalario Universitario de Vigo, Spain. aruanopoblador@yahoo.es
Gay Fernández
A M
AM
García Martínez
M T
MT
Galán Raposo
L
L
Maruri Chimeno
I
I
Carracedo Iglesias
R
R
Casal Núñez
J E
JE
D004322:Drainage; D004946:Esophagostomy; D005402:Fistula / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D005743:Gastrectomy; D005747:Gastric Fistula / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007582:Jejunostomy; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000000981:diagnostic imaging* / Q000601:surgery; D011026:Pneumopericardium / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D011859:Radiography