Case report: benign gastric ulcer erosion leading to a gastropericardial fistula in a patient with no known risk factors

Reicher, Joshua J.; Mindelzun, R E

doi:10.1016/j.clinimag.2014.02.005

Cited by 8 publications

(3 citation statements)

References 6 publications

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“…What caused the fistula to occur remains obscure in this case. None of the patient’s medications were known to be ulcerogenic and there was presently no alcohol abuse 9 …”

Section: Discussionmentioning

confidence: 99%

Gastropericardial fistula presenting with cardiac arrest: a case report

Hervik

Vognild

Bjerke

et al. 2018

European Heart Journal - Case Reports

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Introduction Gastropericardial fistulas are rare conditions, with less than 100 reported cases. The diagnosis is associated with significant morbidity, prolonged hospitalization and often has a fatal outcome. Case presentation We describe a unique case of cardiac arrest caused by pneumopericardium and cardiac tamponade as the acute presentation of a gastropericardial fistula, in a patient admitted with an infection of unknown origin. Rapid return of spontaneous circulation occurred, and a computed tomography scan revealed the diagnosis. A benign penetrating ulcer was found on gastroscopy, and surgical management with laparotomy and gastrorrhaphy was performed. The patient had no risk factors for gastric ulceration. However, he had significant comorbidity, which makes survival through a complicated postoperative course to full recovery remarkable. Discussion This case shows that pneumopericardium due to a penetrating benign gastric ulcer can cause cardiac tamponade, and illustrates the value of a multidisciplinary approach to management.

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“…What caused the fistula to occur remains obscure in this case. None of the patient’s medications were known to be ulcerogenic and there was presently no alcohol abuse 9 …”

Section: Discussionmentioning

confidence: 99%

Gastropericardial fistula presenting with cardiac arrest: a case report

Hervik

Vognild

Bjerke

et al. 2018

European Heart Journal - Case Reports

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“…These fistulae occur secondary to complications from esophagectomy with gastric tube repair, gastric bypass surgery, and slipped Nissen fundoplications. They are found less frequently secondary to spontaneous gastric ulcer disease or gastrointestinal cancer [ 5 – 8 ]. There has also been an association between subphrenic abscesses with repeated gastroesophageal surgeries and fistula development [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Pneumopericarditis: A Case of Acute Chest Pain with ST Segment Elevation

Argueta

Orellana-Barrios

Nantsupawat

et al. 2015

Case Reports in Cardiology

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Pneumopericarditis describes a clinical scenario where fluid and air are found within the pericardial space. Although infrequent, pneumopericarditis should be considered in patients presenting with acute chest pain as a differential diagnosis. This is relevant in patients with history of upper gastrointestinal (GI) surgery, as this may lead to a fistula communicating the GI tract and the pericardium. We report a 42-year-old man with history of numerous surgical interventions related to a Nissen fundoplication that presented with acute chest pain and inferior lead ST segment elevations. Emergent coronary angiography was negative for coronary vascular disease but fluoroscopy revealed air in the pericardial space. Subsequent radiographic studies helped confirm air in the pericardial space with a fistulous communication to the stomach. Ultimate treatment for this defect was surgical closure.

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“…Gastropericardial fistulas are a rare and extremely life-threatening clinical entity. Case reports have documented it to occur secondary to a variety of conditions including recurrent diaphragmatic hernia,[ 2 ] gastric tube ulceration,[ 3 ] benign gastric ulcer erosion,[ 4 ] complications from laparoscopic Nissen fundoplication,[ 5 ] and Roux-en-Y gastric bypass. [ 6 ]…”

Section: Introductionmentioning

confidence: 99%

Gastropericardial Fistula as a Late Complication of Laparoscopic Gastric Banding

Rudd

Lall

Deodhar

et al. 2017

Journal of Clinical Imaging Science

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Laparoscopic adjustable gastric banding (LAGB) is a bariatric procedure that is being performed with increasing frequency as an alternative management option for morbid obesity. Several common complications have been reported including gastric band slippage and associated pouch dilatation, intragastric erosion of the band, gastric wall perforation, and abscess formation. We present a case of gastropericardial fistula occurring nine years after an LAGB. There have been no previous documented cases of the complication after this procedure.

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Case report: benign gastric ulcer erosion leading to a gastropericardial fistula in a patient with no known risk factors

Cited by 8 publications

References 6 publications

Gastropericardial fistula presenting with cardiac arrest: a case report

Gastropericardial fistula presenting with cardiac arrest: a case report

Pneumopericarditis: A Case of Acute Chest Pain with ST Segment Elevation

Gastropericardial Fistula as a Late Complication of Laparoscopic Gastric Banding

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