A case is reported of a pneumopericardium in a 69-year-old woman caused by the rupture into the pericardium of a gastric ulcer situated in a hiatus hernia. Gastrografin studies were used to confirm the diagnosis and her initial conservative management was successful. However, she died at the operation to close her fistula, probably largely as a result of multiple unsuspected pulmonary emboli compounding her acid pericarditis.
No takes yet. Share an insight, caveat, or question.
Monro et al. (1974) studied this question.
Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context: