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http://dx.doi.org/10.3904/kjm.2014.86.4.489

Pneumopericardium Caused by Gastropericardial Fistula after Use of NSAIDs in a Patient with Acute Pericarditis and Gastric Cancer  

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)
Publication Information
The Korean Journal of Medicine / v.86, no.4, 2014 , pp. 489-493 More about this Journal
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
Pneumopericardium; Pericarditis; Stomach neoplasms; Fistula;
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Times Cited By KSCI : 2  (Citation Analysis)
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