Pneumopericardium Secondary to Esophageal Carcinoma with Esophagopericardial Fistula-A Case Report

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A 59-year-old male patient was diagnosed with advanced esophageal cancer in September, 2002. He received 1 course of chemoradiotherapy. A chest radiograph performed upon admission revealed left lower lobe pneumonia with left-side pleural effusion, pulmonary edema, and cardiomegaly. The chest X-ray follow-up revealed apparent pneumopericardium. A chest computed tomography showed esophageal cancer with pneumopericardium. An esophagogram revealed an esophagopericardial fistula connected between the lower esophagus and the pericardial sac.
Accompanying this case report, we review the literature concerning the various etiologies of pneumopericardium, the clinical features, diagnostic techniques, and principles of management.
Translated title of the contribution心包膜腔內積氣續發於食道癌併有食道心包膜瘻管-一病例報告
Original languageEnglish
Pages (from-to)497-502
Number of pages6
Issue number5
Publication statusPublished - 2005


  • 食道癌心包膜腔積氣
  • 食道心包膜腔瘻管
  • esophageal cancer
  • pneumopericardium
  • esophagopericardial fistula


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