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Glen E. Miller, MD; Stephen M. Berger, MD
Mt. Carmel Medical Center Columbus, Ohio

JAMA. 1974;227(8):939.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Causes of pneumopericardium, a rare intrathoracic lesion, were classified by Shackelford¹ and by Meyer.² Stephenson et al³ listed 13 cases, including his own cases, all with fatal outcome. Frey⁴ described a fatal case due to extension of an ulcer in a hiatus hernia. The first reported survivor with this entity was a 6-year-old girl.⁵ She had a perforated peptic ulcer of the esophagus with probable fistula formation to the pericardium.

Romhilt⁶ described a fatal case of perforation of an ulcer through the intrathoracic portion of the stomach, and this report describes survival of surgical repair of an open esophagopericardial fistula.

Report of a Case.—

A 72-year-old man had undergone surgical repair of a hiatus hernia four years previously. At that time, the diameter of the distal esophagus was found to be less than 1 cm, and surgical release of the stricture was . . . [Full Text PDF of this Article]

Footnotes
Edited by George L. Fite, MD, Senior Editor

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