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(Chest. 1974;66:731-733.)
© 1974 American College of Chest Physicians

Pneumopericardium and Esophago-Pericardial Fistula following Chronic Esophagitis Presenting as Acute Respiratory Distress

Noel Curry M.B.B.S.1 and Richard S. Anderson M.D.1

1 Department of Medicine and Radiology, University of Oregon Medical School Hospitals, Portland, Oregon

Following hospital admission, acute respiratory distress developed in a 67-year-old man with longstanding esophagela reflux. pneumopericardium, pneumomediastinum and esophago-pericardial fistula were demonstrated, but surgical treatment was unsuccessful. This rare and bizarre complication should be considered in the differential diagnosis of acute cardiorespiratory conditions.






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Copyright © 1974 by the American College of Chest Physicians.