title: [Pneumopericardium caused by gastropericardial fistula].
abstract: 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.
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Complejo Hospitalario Universitario de Vigo, Spain. aruanopoblador@yahoo.es
authors.forename: A
authors.initials: A
authors.lastname: Ruano Poblador
authors.forename: A M
authors.initials: AM
authors.lastname: Gay Fernández
authors.forename: M T
authors.initials: MT
authors.lastname: García Martínez
authors.forename: L
authors.initials: L
authors.lastname: Galán Raposo
authors.forename: I
authors.initials: I
authors.lastname: Maruri Chimeno
authors.forename: R
authors.initials: R
authors.lastname: Carracedo Iglesias
authors.forename: J E
authors.initials: JE
authors.lastname: Casal Núñez
mesh_terms: 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