Pyopneumopericardium attributed to an esophagopericardial fistula: report of a survivor and review of the literature.

@article{Miller1991PyopneumopericardiumAT,
  title={Pyopneumopericardium attributed to an esophagopericardial fistula: report of a survivor and review of the literature.},
  author={Wayne Miller and Michael J. Osborn and Lawrence J. Sinak and Benjamin M. Westbrook},
  journal={Mayo Clinic proceedings},
  year={1991},
  volume={66 10},
  pages={1041-5}
}
Herein we describe a case of pyopneumopericardium that resulted from formation of an acquired esophagopericardial fistula in a patient with silent, benign esophageal ulcer disease. Atypical features on initial examination suggested congestive heart failure or a pneumonic process (or both). The delayed development of pneumopericardium disclosed on a chest roentgenogram led to the clinical recognition of the esophagopericardial fistula. Subsequent emergent pericardiocentesis relieved cardiac… CONTINUE READING