Related Experiment Videos
Pneumopericardial tamponade resulting from a spontaneous gastropericardial fistula
Steven R Bruhl1, Kiranmayee Lanka, William R Colyer
1Department of Cardiology, The University of Toledo Medical Center, Toledo, Ohio 43614, USA. steven.bruhl@utoledo.edu
Abstract:
Pneumopericardium is a rare but serious cause of morbidity and mortality. Untreated, it can lead to cardiac tamponade and thus must be promptly identified to treat the underlying etiology. Here, we report a case of spontaneous pneumopericardium secondary to gastric ulcer perforation in association with a hiatal hernia. The diagnosis of pneumopericardium was first made under fluoroscopy during cardiac catheterization and a follow-up CT of the chest revealed a gastropericardial fistula as the initiating event. The patient underwent emergent thoracotomy and partial esophagogastrectomy which eventually resulted in a full recovery and discharge on postoperative day 19. Our unique experience with this rare and often fatal disease suggests that early diagnosis combined with an early and aggressive surgical strategy is critical for minimizing morbidity and mortality.
Related Concept Videos
Pneumothorax-I
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Pneumothorax II: Pathophysiology
Pneumothorax-II
Clinical Manifestations:
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Pericarditis I: Introduction