Hydropneumopericardium Due to a Traumatic Esophageal-Pericardial Fistula

Usman Sagheer; Sagar Bhandari; Muhammad Umer; Matthew Peters; Matthew Shotwell; Nanlong Liu; Amor Royer; Amrutha Mylarapu; Dinesh K Kalra

doi:10.1016/j.jaccas.2024.102357

Hydropneumopericardium Due to a Traumatic Esophageal-Pericardial Fistula

JACC Case Rep. 2024 May 6;29(12):102357. doi: 10.1016/j.jaccas.2024.102357. eCollection 2024 Jun 19.

Authors

Usman Sagheer¹, Sagar Bhandari¹, Muhammad Umer¹, Matthew Peters¹, Matthew Shotwell¹, Nanlong Liu², Amor Royer², Amrutha Mylarapu³, Dinesh K Kalra¹

Affiliations

¹ Division of Cardiology, Department of Medicine, University of Louisville, Louisville, Kentucky, USA.
² Division of Gastroenterology, Department of Medicine, University of Louisville, Louisville, Kentucky, USA.
³ Department of Radiology, University of Louisville, Louisville, Kentucky, USA.

Abstract

Esophago-pericardial fistula is a rare, life-threatening condition, usually arising as a complication of benign esophageal disorders or iatrogenic causes. Prompt diagnosis via multimodality imaging is crucial, with computed tomography being the most sensitive. Management varies based on severity, with a growing trend toward early endoscopic interventions, which result in improved outcomes.

Keywords: esophageal perforation; esophago-pericardial fistula; hydropneumopericardium.

Publication types

Case Reports