Abstract：
Gastropericardial fistula is a rare, extremely serious and life-threatening condition. Its most common aetiology is secondary to iatrogenic injury following gastric surgery. Clinical manifestations may be non-specific with precordial pain, simulating an acute coronary syndrome, and may be accompanied by electrocardiogram abnormalities. Diagnosis is made by thoracoabdominal computed tomography (CT) with oral and intravenous contrast. Treatment is surgical and consists of repair of the anomalous communication. We present the case of an 81-year-old male patient with gastropericardial fistula who underwent surgery, with the aim of reviewing the diagnosis and the appropriate therapeutic strategy.
摘要：
胃心包瘘是一种罕见的，极其严重和危及生命的情况。其最常见的病因是继发于胃手术后的医源性损伤。临床表现可能是非特异性的心前区疼痛，模拟急性冠脉综合征,并可能伴有心电图异常。诊断是通过胸腹计算机断层扫描（CT）与口腔和静脉造影。治疗是手术，包括修复异常的沟通。我们介绍了一个81岁的患有胃心包瘘的男性患者，该患者接受了手术，目的是回顾诊断和适当的治疗策略。
