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Gastro-Pericardial Fistula

Imaging findings

Massive pneumopericardium and pericardial effusion. CT shows a clear communication between the gastric lumen and the pericardial space, with significant pericardial enhancement.

Key takeaways

In patients with post-surgical or malignancy-related gastric history, consider a gastro-pericardial fistula when pneumopericardium is encountered.

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