[Pyopneumopericardium from perforation of a hiatus hernia ulcer : a case report]

Pyoneumopericardium developed secondary to perforation of an iatrogenic hiatus hernia ulcer. Eighteen cases of gastropericardial fistulae have been reported, but only one similar case has been described in the published literature. Currently employed medical and surgical treatment gives disappointing results, whether the site of perforation of the ulcer be thoracic or transdiaphragmatic.