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Gastropericardial fistula as a late complication of Roux-en-Y procedure.
J Surg Case Rep
August 2024
Internal Medicine Core Faculty, Skagit Regional Health, Graduate Medical Education, Mount Vernon 98274, United States.
Pneumopericardium secondary to gastro-pericardial fistula is a rare complication associated with various surgical procedures and conditions, notably Roux-en-Y gastric bypass. This condition poses a risk of cardiac tamponade and can be fatal if not promptly diagnosed and managed. We present a case of a 62-year-old female with a history of gastric bypass who presented with nonspecific symptoms and was eventually diagnosed with pneumopericardium secondary to gastro-pericardial fistula.
View Article and Find Full Text PDFGastropericardial fistula: A successfully operated heart code.
Radiologia (Engl Ed)
June 2024
Servicio de Radiodiagnóstico, Hospital Universitario Central de Asturias, Oviedo, Spain.
Gastropericardial fistula is a rare, extremely serious and life-threatening condition. Its most common aetiology is secondary to iatrogenic injury following gastric surgery. Clinical manifestations may be non-specific with precordial pain, simulating an acute coronary syndrome, and may be accompanied by electrocardiogram abnormalities.
View Article and Find Full Text PDFGastropericardial fistula complicated by severe multi-vessel coronary spasm.
Eur Heart J
May 2024
Department of Cardiology, West China Hospital, Sichuan University, No. 37 Guoxue Road, Chengdu 610041, China.
CT-Guided Pericardiocentesis in a Case of Tension Pneumopericardium and Tamponade Secondary to an Enteropericardial Fistula.
JACC Case Rep
July 2023
Department of Medicine, University of Missouri, Kansas City School of Medicine, Kansas City, Missouri, USA.
Article Synopsis
- - Tension pneumopericardium typically arises from trauma, but rare nontraumatic causes have been documented, including fistulas related to the gastrointestinal tract.
- - A patient case is reported involving a 54-year-old man who experienced tension pneumopericardium with cardiac tamponade due to a perforated ulcer.
- - The perforation created an enteropericardial fistula, linking the jejunum to the pericardial space, leading to the patient's condition.
An Unusual Case of ST-Elevation Myocardial Infarction (STEMI) Mimicker: Pneumopericardium Secondary to Gastro-Pericardial Fistula.
Cureus
May 2023
Cardiology, Rochester Regional Health, Rochester, USA.
Pneumopericardium is defined as the collection of air inside the pericardium. Gastro-pericardial fistula is one of its rarest etiologies. We are presenting a case of pneumopericardium due to gastro-pericardial fistula secondary to gastric cancer presented with an inferior ST-elevation myocardial infarction (STEMI)-like picture.
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