Why the study?
Tension pneumopericardium is typically traumatic, whereas nontraumatic etiologies such as fistulous connections are rare.
Highlights a rare case of nontraumatic tension pneumopericardium and tamponade caused by an enteropericardial fistula, managed with CT-guided pericardiocentesis.
Alerts clinicians to consider enteropericardial fistula from marginal ulcer in nontraumatic tension pneumopericardium; leaves open systematic study of this rare etiology.
Tension pneumopericardium is most commonly traumatic. Nontraumatic etiologies are rare, but have been reported with gastropericardial and esophagopericardial fistulas. We present the case of a 54-year-old patient who developed a tension pneumopericardium with tamponade secondary to a perforated marginal ulcer in the proximal jejunum with an enteropericardial fistula. (Level of Difficulty: Intermediate.)
No takes yet. Share an insight, caveat, or question.
Ibrahim et al. (2023) studied this question.
Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context: