Abstract
Gastropericardial fistula is a rare sequel of transdiaphragmatic perforation of a gastric ulcer or carcinoma. We report a case of a 38-year-old male presenting with severe dyspnoea and abdominal pain along with evidence of severe cardiac tamponade secondary to a gastropericardial fistula following a benign gastric ulcer in the fundus. The life of the patient could not be saved in spite of pericardial decompression in the form of pericardiocentesis and intensive care. A high index of suspicion, early diagnosis and prompt surgical intervention may result in a favorable outcome in this otherwise uniformly fatal condition.
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