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

  • Joshua J. Reicher
    Correspondence
    Corresponding author. Stanford Hospital & Clinics, Department of Radiology, 300 Pasteur Dr., H1307 MC 5621, Stanford, CA 94305. Tel.: +1 650 723 8463; fax: 1 650 723 1909.
    Affiliations
    Stanford Hospital & Clinics, Department of Radiology, 300 Pasteur Dr., H1307 MC 5621, Stanford, CA 94305
    Search for articles by this author
  • Robert Mindelzun
    Affiliations
    Stanford Hospital & Clinics, Department of Radiology, 300 Pasteur Dr., H1307 MC 5621, Stanford, CA 94305
    Search for articles by this author
Published:February 13, 2014DOI:https://doi.org/10.1016/j.clinimag.2014.02.005

      Abstract

      A 53-year-old homeless male presented to the emergency department with sudden onset chest pain and was found to have a large pneumopericardium on chest X-ray. The patient had no history of surgery, hiatal hernia, or ulcer disease. A contrast-enhanced computed tomography scan demonstrated the pneumopericardium and raised concern for possible gastropericardial fistula from a benign gastric ulcer. An esophagogastroduodenoscopy confirmed the fistula, as did surgery, and intraoperatively vegetable particular matter was removed from the anatomic space continuous with the pericardium.

      Keywords

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