title: Gastropericardial fistula-induced pyopneumopericardium after esophagectomy with esophagogastrectomy.
abstract: Gastropericardial fistula is an acquired disorder presenting as an abnormal communication between the stomach and the pericardium, with a rare incidence and extremely high mortality rate. We recently experienced a case of life-threatening gastropericardial fistula occurring as an unusual complication after an esophagectomy with an esophagogastrostomy for esophageal cancer treatment. A 68-year-old man with a history of esophagectomy and esophagogastrostomy using the gastric pedicle for the esophageal cancer 13 years ago, visited the hospital with a complaint of dyspnea for 3 days. Chest roentgenogram, computed tomographic scan, and endoscopy showed a pneumopericardium and huge ulcer with central perforation in the posterior wall of the gastric pedicle.
authors.affiliation: Department of Radiology, Korea University Medical Center, Seoul, South Korea.
authors.forename: Won Jung
authors.initials: WJ
authors.lastname: Kim
authors.forename: Eun Jeong
authors.initials: EJ
authors.lastname: Choi
authors.forename: Yu-Whan
authors.initials: YW
authors.lastname: Oh
authors.forename: Kwang Taik
authors.initials: KT
authors.lastname: Kim
authors.forename: Chul Whan
authors.initials: CW
authors.lastname: Kim
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy / Q000009:adverse effects*; D005743:Gastrectomy / Q000009:adverse effects*; D005747:Gastric Fistula / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D010496:Pericardium; D011026:Pneumopericardium / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D016157:Vascular Fistula / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy