Esophagopericardial Fistula: An Unusual Cause of Sudden Unexpected Death

Esophagopericardial fistula is a rare entity, usually associated with benign esophageal disorders. Clinically they present as an acute illness associated with characteristic clinical findings and have an extremely high mortality rate. A case of a chronic esophagopericardial fistula is presented in an individual who remained asymptomatic and presented as a sudden unexpected death secondary to cardiac tamponade from refluxed gastric contents.