• Boyang Ni, Yu-Long Chen, Po-Chen Lin, Yueh-Tseng Hou, Yaw-Tsan Ho, and Meng-Yu Wu.
• Department of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City 231, Taiwan; Department of Emergency Medicine, School of Medicine, Tzu Chi University, Hualien 970, Taiwan.
• Am J Emerg Med. 2021 Aug 1; 46: 801.e1-801.e3.

AbstractGastropericardial fistula is a rare but lethal condition. Several etiologies have been reported, including previous gastric or esophageal surgery, malignancy, trauma, infection, and ulcer perforation. Typical symptoms included chest pain, epigastric pain, fever and dyspnea. Gastropericardial fistula can lead to serious complications, including cardiac tamponade, sepsis, hemodynamic compromise and death. Therefore, early diagnosis and timely management are important for physicians to prevent from catastrophic complications. Here, we present a case of a man who presented with acute purulent pericarditis secondary to a gastropericardial fistula to highlight the pathogenesis and suggest therapeutic strategies.Copyright © 2021. Published by Elsevier Inc.

25 keywords...

hide…