Pneumopericardium due to transdiaphragmatic perforation of a gastric ulcer

Abstract
A 65-year-old man presented with cardiogenic shock and massive pneumopericardium. A gastropericardial fistula due to transdiaphragmatic penetration of a large fundal ulcer was documented radiographically and confirmed at autopsy. Previously recorded cases of pneumopericardium complicating gastric ulcers or other diseases of the digestive tract are briefly reviewed.

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