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Case Report
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Korean J Med. 2014;86(4):489-493. Published online April 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.86.4.489
- 위암 환자 급성 심막염에 NSAID 사용 후 발생한 위심막루에 의한 심낭기종
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김영기1, 김학진2, 박경선1, 홍아람1, 이상진1, 우상명3
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1서울대학교 의과대학 서울대학교병원 내과
2국립암센터 순환기내과
3국립암센터 간암센터
- 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
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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
- Corresponding author: Sang Myung Woo ,Tel: +82-31-920-1733, Fax: +82-31-920-2798, Email: wsm@ncc.re.kr
- Received: May 18, 2013; Revised: May 29, 2013 Accepted: June 26, 2013.
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߽ɾ :심낭기종; 심막염; 위암; 누공
- Abstract
- 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)
Keywords :Pneumopericardium, Pericarditis, Stomach neoplasms, Fistula
