The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Pneumopericardium Caused by Gastropericardial Fistula after Use of NSAIDs in a Patient with Acute Pericarditis and Gastric Cancer

위암 환자 급성 심막염에 NSAID 사용 후 발생한 위심막루에 의한 심낭기종

  • Kim, Yeong Gi (Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kim, Hak Jin (Department of Cardiology, National Cancer Center) ;
  • Park, Kyeong Seon (Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Hong, A Ram (Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Lee, Sang Jin (Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Woo, Sang Myung (Center for Liver Cancer, National Cancer Center)
  • 김영기 (서울대학교 의과대학 서울대학교병원 내과) ;
  • 김학진 (국립암센터 순환기내과) ;
  • 박경선 (서울대학교 의과대학 서울대학교병원 내과) ;
  • 홍아람 (서울대학교 의과대학 서울대학교병원 내과) ;
  • 이상진 (서울대학교 의과대학 서울대학교병원 내과) ;
  • 우상명 (국립암센터 간암센터)
  • Received : 2013.04.18
  • Accepted : 2013.06.26
  • Published : 2014.04.01
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Abstract

Here, we report a case of gastropericardial fistula associated with the treatment of acute pericarditis using non-steroidal anti-inflammatory drugs (NSAIDs) in the presence of gastric cancer. The patient presented with acute pericarditis with pericardial effusion that had progressed into definite gastropericardial fistula with pneumopericardium after the administration of NSAIDs. The patient improved after conservative management. Based on the current case, we advise caution when using NSAIDs to treat acute pericarditis in the presence of gastric cancer or possible gastropericardial fistula.

Keywords

References

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