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Case report: duodeno-pericardial fistula
1Department of Radiology, City Hospital, Nottingham.
Clinical Radiology
|June 1, 1991
Summary
A rare duodeno-pericardial fistula, a connection between the duodenum and pericardium, was identified post-mortem. This spontaneous condition, presenting as pericarditis and pneumopericardium, has not been previously documented.
Area of Science:
- Gastroenterology
- Cardiology
- Pathology
Background:
- Spontaneous duodeno-pericardial fistula is an extremely rare condition.
- Pericarditis and pneumopericardium can be presenting symptoms.
Observation:
- An elderly female patient presented with symptoms of pericarditis.
- Chest radiography revealed pneumopericardium, indicating air in the pericardial sac.
Findings:
- A spontaneous duodeno-pericardial fistula was discovered during necropsy.
- This specific fistula formation has not been previously described in medical literature.
Implications:
- This case highlights a previously unrecognized cause of pneumopericardium and pericarditis.
- Further research may be needed to understand the etiology and clinical significance of this rare fistula.