Gastropericardial fistula: an unusual case of “heart burn”

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Gastropericardial fistula: an unusual case of “heart burn” Adam E. Mikolajczyk, MD VideoGIE Volume 1, Issue 1, Pages 4-5 (September 2016) DOI: 10.1016/j.vgie.2016.07.004 Copyright © 2016 The Authors Terms and Conditions

Figure 1 A, Radiograph of chest revealing evidence of pneumopericardium. B, Result of gastrograffin upper GI study showing the rapid passage of contrast medium from the cardia/proximal fundus into the left lateral aspect of the pericardium (yellow arrow in image at upper left). Contrast medium then was observed to fill a 5-cm outpouching in the proximal stomach (yellow arrows in the lower and right upper images). C, Esophagoduodenoscopic view of the gastropericardial fistula with visible pericardium exposed. D, High-power microscopic view of the pericardial biopsy specimens showing pseudohyphae (red arrows) and yeast (red circle) in a background of necrotic debris and inflammatory cells, with no evidence of malignancy (H&E, orig. mag. ×40). VideoGIE 2016 1, 4-5DOI: (10.1016/j.vgie.2016.07.004) Copyright © 2016 The Authors Terms and Conditions