An 80-year-old Female with Pneumopericardium due to Gastric Perforation.
スポンサーリンク
概要
- 論文の詳細を見る
An 80-year-old woman was admitted to our hospital because of chest oppression and general malaise. On admission, auscultation of the heart revealed friction rub, so-called water-wheel like murmur. Chest X-ray film and computed tomography showed cardiomegaly and free air in the pericardium. Electrocardiogram showed low voltage with ST elevation in II, III, aVF and V1-V4. These findings suggested that the patient had pneumopericardium with pericarditis. Wenchebach type A-V block and atrial bradycardia appeared. Thus, the ventricular pacing was performed. However, patient died of multipe organ failure. The postmortempericardiography showed the gastro-pericardial fistula with hiatus hernia.
- 社団法人 日本老年医学会の論文