Pneumo-pyopericardium Mimicking an Acute Myocardial Infarction. A Rare Complication of an Incarcerated Hiatus Hernia and Gastro-pericardial Fistula

DOI: 10.1515/jce-2016-0021


Pyopericardium is an acquired disease associated with very high complication rates. Pyoperi- cardium is a very rare form of pneumopericardium. The nontraumatic causes of pneumoperi- cardium include gastro-pericardial fistula that can occur in refractory gastric ulcers, stomach or esophageal neoplasia, and in surgical interventions of the stomach, such as the Niessen fundoplication procedure. The case of life-threatening pneumopericardium associated with gastro-pericardial fistula resulting from the incarceration of a giant hiatal hernia is reported.