Key result
A 68-year-old man presenting with symptoms mimicking an acute ST-elevation myocardial infarction was diagnosed with a rare pneumo-pyopericardium caused by a gastro-pericardial fistula and giant hiatal hernia.
Case Report (n=1)
Highlights a rare case of pneumo-pyopericardium mimicking acute myocardial infarction due to an incarcerated hiatus hernia and gastro-pericardial fistula.
Clinicians should consider gastro-pericardial fistula among STEMI mimics; single case leaves open prevalence and optimal management.
Pyopericardium is an acquired disease associated with very high complication rates. Pyopericardium is a very rare form of pneumopericardium. The nontraumatic causes of pneumopericardium include gastro-pericardial fistula that can occur in refractory gastric ulcers, stomach or esophageal neoplasia, and in surgical interventions of the stomach, such as the Niessen fundoplication procedure. The case of life-threatening pneumopericardium associated with gastro-pericardial fistula resulting from the incarceration of a giant hiatal hernia is reported.
No takes yet. Share an insight, caveat, or question.
Blendea et al. (2016) conducted a case report in Pneumo-pyopericardium mimicking acute myocardial infarction (n=1). Surgical correction of hiatus hernia and drainage of pyopericardium was evaluated. A 68-year-old man presenting with symptoms mimicking an acute ST-elevation myocardial infarction was diagnosed with a rare pneumo-pyopericardium caused by a gastro-pericardial fistula and giant hiatal hernia.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: