Gastropericardial Fistula Research Articles

Gastropericardial Fistula: A Surgical Emergency

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.

Gastropericardial fistula after Roux-en- Y gastric bypass: a case report

Gastropericardial fistula after Roux-en- Y gastric bypass: a case report

Acute Pneumopericardium Due to Intestino-Pericardial Fistula

A 70-year-old woman with a 5-month history of metastatic pancreatic cancer was admitted to the hospital with dyspnea, swelling edema of the legs, and fever. Shortly thereafter she developed an intermittent atrial fibrillation. Treatment with diuretics, antibiotics, and amiodarone was initiated. Because of a chest radiograph showing a pneumopericardium, she was transferred to our University Medical Center (Figure 1). Transthoracic echocardiography was hampered by pericardial trapped air. A 64-row multislice computed tomography scan that was initially performed for re-staging of the pancreatic carcinoma after systemic chemotherapy (gemcitabine) and intraarterial chemoperfusion (gemcitabine and mitomycin) of …

Gastropericardial Fistula as an Early Complication After Surgery for Combined Paraesophageal and Hiatal Hernia

Open surgery is still used to treat massive combined paraesophageal and hiatal hernias. The operative principles include repositioning of the stomach in the abdomen, resection of the hernia sac, narrowing of the hiatus, and gastropexy. We report on a case in which a life-threatening, gastro-pericardial fistula was an early complication after open surgical treatment.

Gastropericardial Fistula, Purulent Pericarditis, and Cardiac Tamponade After Laparoscopic Nissen Fundoplication

Gastropericardial fistula, purulent pericarditis, and cardiac tamponade developed 7 years after laparoscopic Nissen fundoplication. The patient was successfully managed through a thoracotomy by open drainage of the pericardium, excision and closure of the fistula, and an omentum flap.

Gastropericardial Fistula andCandida kruzeiPericarditis Following Laparoscopic Nissen Fundoplication (Gastropericardial Fistula)

We report a case of gastropericardial fistula and Candida kruzei pericarditis one year after laparoscopic Nissen fundoplication. Chest X-ray and CT revealed pneumopericardium. Barium swallow, UGI, endoscopy, and bronchoscopy were negative. Pericardial exploration was performed through a sternotomy. Intraoperative fistulogram revealed a tract into the stomach. A midline abdominal incision allowed identification of the slipped Nissen, resection of the fistula tract, and subsequent re-do fundoplication. The patient was treated with amphotericin and remains symptom-free 10 months after her operation. We recommend both sternotomy and midline abdominal incisions to explore and access the pericardium, stomach, esophagus, and diaphragm.

Gastropericardial fistula with pneumopericardium: an unusual complication of benign peptic ulceration

Perforation of a benign gastric ulcer with the formation of a gastropericardial fistula and pneumopericardium is an extremely rare and frequently fatal complication of peptic ulcer disease. Patients often present with severe substernal chest pain and dyspnea and may rapidly become hypotensive as a result of the accumulation of air and fluid within the pericardial sac and subsequent cardiac tamponade.1-10 The condition is usually fatal, with a mortality of 68% in one series.11 We present a case of a benign gastric ulcer in a hiatal hernia that perforated, resulting in the formation of a gastropericardial fistula and pneumopericardium.

Gastropericardial Fistula Caused by an Ulcer in the Gastric Tube following Esophagectomy

A gastric tube is commonly used for reconstruction following transhiatal resection of the esophagus because of its good suitability and its low long-term complication rate. We report a case with a gastropericardial fistula due to a penetrating gastric ulcer in the gastric tube after transhiatal esophagectomy which was performed for esophageal rupture. The etiology and management of this rare complication are discussed.

Radiology of the left lobe of the liver.

The radiological features of the left lobe of the liver involved by amebic abscess, hydatid cyst and malignancy, as shown on barium examination of the stomach, are described. The commonest radiological finding is anterior gastric indentation with or without posterior displacement of the stomach. Other features of left lobe enlargement are downward displacement of the gastric fundus, a scooped-out appearance of the lesser curve of the stomach and, rarely, posterior indentation. The importance of barium meal examination of the stomach in localising the lesion to the left lobe is emphasised. A rare case of gastro-pericardial fistula complicating amebic liver abscess is described.

Endoscopic antemortem diagnosis of gastropericardial fistula caused by perforation of benign gastric ulcer

Endoscopic antemortem diagnosis of gastropericardial fistula caused by perforation of benign gastric ulcer

Gastropericardial fistula and pericardial abscess: unusual complications of subphrenic abscess following Nissen fundoplication.

AbstractA case of gastropericardial fistula and pericardial abscess following subphrenic abscess is presented. This particular complication of subphrenic abscess has not been recorded previously. The frequent association of serious thoracic disease with subphrenic abscess is reviewed. Gastropericard