Gastropericardial fistula presenting with cardiac arrest: a case report
| Autor: | Lars Martin Bjerke, Ingrid Vognild, Kjersti Hervik, Sven M. Almdahl |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Fistula medicine.medical_treatment Gastropericardial fistula Case Reports Pneumopericardium Return of spontaneous circulation 03 medical and health sciences 0302 clinical medicine Cardiac tamponade Laparotomy Case report medicine business.industry Gastrorrhaphy Cardiac arrest medicine.disease Comorbidity Surgery 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Presentation (obstetrics) Cardiology and Cardiovascular Medicine business |
| Zdroj: | European Heart Journal: Case Reports |
| ISSN: | 2514-2119 |
| Popis: | Introduction Gastropericardial fistulas are rare conditions, with less than 100 reported cases. The diagnosis is associated with significant morbidity, prolonged hospitalization and often has a fatal outcome. Case presentation We describe a unique case of cardiac arrest caused by pneumopericardium and cardiac tamponade as the acute presentation of a gastropericardial fistula, in a patient admitted with an infection of unknown origin. Rapid return of spontaneous circulation occurred, and a computed tomography scan revealed the diagnosis. A benign penetrating ulcer was found on gastroscopy, and surgical management with laparotomy and gastrorrhaphy was performed. The patient had no risk factors for gastric ulceration. However, he had significant comorbidity, which makes survival through a complicated postoperative course to full recovery remarkable. Discussion This case shows that pneumopericardium due to a penetrating benign gastric ulcer can cause cardiac tamponade, and illustrates the value of a multidisciplinary approach to management. |
| Databáze: | OpenAIRE |
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