The Way to a Man's Heart is through his Stomach – Peanuts in the Pericardium! a Rare Case of Traumatic Gastropericardial Fistula

Abstract

The way to a man's heart is through his stomach  peanuts in the pericardium! A rare case of traumatic gastropericardial fistulaPneumopericardium is most commonly iatrogenic and in cases of gastropericardial fistula, the stomach is usually intrathoracic. We report a case of penetrating trauma induced gastropericardial fistula from an intraabdominal stomach resulting in pneumopericardium. The diagnosis was confirmed during laparotomy. Pneumopericardium, if small, can be managed conservatively, but immediate release is required if tension occurs. Gastropericardial fistula carries a high mortality and should be surgically repaired. (Hong Kong j. emerg.med. 2013;20:53-56) 心包膜腔積氣最常見是醫源性的，在創傷性胃心包瘺的情況，通常胃是在胸內。我們報告一例穿通傷引 起的創傷性胃心包瘺和心包膜腔積氣，個案的胃是在腹內。診斷在剖腹探查確診。心包膜腔積氣，如果 小的話，可以保守治療，但如果導致張力時，要立即減壓。 創傷性胃心包瘺有很高的死亡率，應手術 修復。