| Pneumopericardium Caused by Gastropericardial Fistula after Use of NSAIDs in a Patient with Acute Pericarditis and Gastric Cancer |
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Yeong Gi Kim1, Hak Jin Kim2, Kyeong Seon Park1, A Ram Hong1, Sang Jin Lee1, Sang Myung Woo3 |
1Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea
2Department of Cardiology, National Cancer Center, Goyang, Korea
3Center for Liver Cancer, National Cancer Center, Goyang, Korea |
| 위암 환자 급성 심막염에 NSAID 사용 후 발생한 위심막루에 의한 심낭기종 |
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김영기1, 김학진2, 박경선1, 홍아람1, 이상진1, 우상명3 |
1서울대학교 의과대학 서울대학교병원 내과
2국립암센터 순환기내과
3국립암센터 간암센터 |
Correspondence:
Sang Myung Woo, Tel: +82-31-920-1733, Fax: +82-31-920-2798, Email: wsm@ncc.re.kr
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Received: 18 May 2013 • Revised: 29 May 2013 • Accepted: 26 June 2013 |
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| This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Abstract |
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Here, we report a case of gastropericardial fistula associated with the treatment of acute pericarditis using non-steroidal anti-inflammatory drugs (NSAIDs) in the presence of gastric cancer. The patient presented with acute pericarditis with pericardial effusion that had progressed into definite gastropericardial fistula with pneumopericardium after the administration of NSAIDs. The patient improved after conservative management. Based on the current case, we advise caution when using NSAIDs to treat acute pericarditis in the presence of gastric cancer or possible gastropericardial fistula. (Korean J Med 2014;86:489-493) |
| Key Words:
Pneumopericardium; Pericarditis; Stomach neoplasms; Fistula |
| 주제어:
심낭기종; 심막염; 위암; 누공 |
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