# Recurrent Gastropericardial Fistula: A Case Report

## TL;DR

This case report describes a rare and serious complication called gastropericardial fistula in a 77-year-old man, emphasizing the need for early diagnosis and surgical treatment.

## Contribution

The paper presents the third documented case of recurrent gastropericardial fistula, offering insights into its management.

## Key findings

- The patient had a complex surgical history and nonspecific symptoms that led to the diagnosis of GPF.
- Surgical interventions, including a pericardial window and omental flap, were effective in treating the condition.
- Early diagnosis and aggressive surgical management are critical for successful outcomes in GPF cases.

## Abstract

Gastropericardial fistula (GPF) is a rare but serious complication that can develop years after upper gastrointestinal surgeries. We present the third documented case of recurrent GPF in a 77-year-old male with a complex surgical history, including hiatal hernia repair and multiple thoracic procedures. The patient exhibited nonspecific symptoms, including chest pain, vomiting, and signs of sepsis. Diagnosis was confirmed through CT and esophagogastroduodenoscopy. Treatment involved several surgical interventions: creation of a pericardial window, takedown of the GPF, and placement of an omental flap. This case highlights the importance of early diagnosis, prompt and aggressive surgical management, and diligent postoperative care in addressing GPF.