Gastropericardial fistula: A successfully operated heart code

被引：0
作者：
Aguilera, Carrasco [1 ]
Ruiz, P. del Val [1 ]
Alvarez, L. Sanz [1 ]
Fernandez, F. Cadenas [2 ]
Garcia, M. Martinez-Cachero [3 ]
机构：
[1] Hosp Univ Cent Asturias, Serv Cirugia Gen & Aparato Digest, Oviedo, Spain
[2] Hosp Univ Cent Asturias, Serv Digest, Oviedo, Spain
[3] Hosp Univ Cent Asturias, Serv Radiodiagnost, Oviedo, Spain
来源：
RADIOLOGIA | 2024年 / 66卷 / 03期
关键词：
Gastropericardial fistula; Pneumopericardium; Pericarditis; Gastric surgery; Mediastinum; PERICARDITIS;
D O I：
10.1016/j.rx.2023.02.002
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
Gastropericardial fistula is a rare, extremely serious and life-threatening condition. Its most common etiology is secondary to iatrogenic injury following gastric surgery. Clinical manifestations may be non-specific with precordial pain, simulating an acute coronary syndrome, and may be accompanied by electrocardiogram abnormalities. Diagnosis is made by thoracoabdominal computed tomography (CT) with oral and intravenous contrast. Treatment is surgical and consists of repair of the anomalous communication. We present the case of an 81-year-old male patient with gastropericardial fistula who underwent surgery, with the aim of reviewing the diagnosis and the appropriate therapeutic strategy. (c) 2023 SERAM. Published by Elsevier Espa & ntilde;a, S.L.U. All rights reserved.
引用
收藏
页码：278 / 281
页数：4
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