RT Journal Article
SR Electronic
T1 Penetration Of The Pericardium By A Gastric Ulcer – Survival After Pericardiocentesis
JF The Journal of the American Board of Family
                Practice
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 289
OP 291
DO 10.3122/jabfm.3.4.289
VO 3
IS 4
A1 Mary N Hall
A1 John M. Little, Jr.
YR 1990
UL http://www.jabfm.org/content/3/4/289.abstract
AB Elderly patients often have unusual manifestations of common illnesses. We describe a geriatric patient having a pneumopericardium from pericardial penetration by a gastric ulcer. Benign gastric ulceration causing perforation of the pericardium or other cardiac structures was recognized as early as 1854; however, unti11964, the condition was invariably fatal. Our patient survived the episode after early pericardiocentesis and medical treatment. Aspects of this uncommon clinical entity and a brief review of the literature are described.