What question did this study set out to answer?

To highlight the risk of gastropericardial fistula in patients with pneumopericardium following gastric surgery.

March 21, 2026JACC Case Reports0 citationsOpen Access

Purulent Pneumopericardium From a Gastropericardial Fistula 30 Years After Gastrectomy

PKPouriya KatouziQilu Hospital of Shandong University MKMohammadreza Akbarian Khorasgani MHMelika Khalifeh HadiQilu Hospital of Shandong University

Key Points

To highlight the risk of gastropericardial fistula in patients with pneumopericardium following gastric surgery.
Case report of a patient presenting with pneumopericardium and history of gastrectomy.
Assessment of symptoms and diagnostic measures for gastropericardial fistula.
Intervention involved early pericardial drainage.
Successful identification of gastropericardial fistula in a post-gastrectomy patient.
Prompt pericardial drainage alleviated significant clinical symptoms.

Abstract

Gastropericardial fistula should be suspected in patients with pneumopericardium and prior gastric surgery, and early pericardial drainage is critical.

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