CTICasesGastropericardial Fistula
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Imaging findings
Pneumopericardium is evident on chest X-ray and CT, and barium swallow demonstrates a clear connection between the proximal stomach and the pericardial sac.
Key takeaways
A rare entity usually related to benign peptic ulcer disease in the proximal stomach, though it can also be traumatic; it should be suspected when there is air in the pericardium.
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See all cases from May 23, 2014 →