{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T12:41:17Z","timestamp":1777725677115,"version":"3.51.4"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2021,11,15]],"date-time":"2021-11-15T00:00:00Z","timestamp":1636934400000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Pyopneumopericarditis is a very rare diagnosis that requires prompt recognition and urgent treatment. It denotes the presence of pus and air in the pericardium with associated inflammation of the fibrous pericardial sac.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 49-year-old gentleman was admitted with pyopneumoperciarditis on a background of a previous uncomplicated Roux-en-Y gastric bypass surgery performed 7\u2009years prior. He underwent emergency surgery for an omental patch repair of an ulcer perforation involving the diaphragm and pericardium. His inpatient stay was complicated by persistent seropurulent output from the pericardial drain, loculated pleural effusion, and deconditioning.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Management is extrapolated from the literature regarding purulent pericarditis. This condition albeit rare, requires swift recognition as without treatment mortality approaches 100%. Colchicine is an important adjunctive therapy postoperatively to prevent constrictive physiology.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytab408","type":"journal-article","created":{"date-parts":[[2021,11,18]],"date-time":"2021-11-18T03:30:52Z","timestamp":1637206252000},"source":"Crossref","is-referenced-by-count":4,"title":["Pyopneumopericarditis from a gastropericardial fistula: a case report"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5792-6416","authenticated-orcid":false,"given":"John","family":"Lee","sequence":"first","affiliation":[{"name":"Monash Cardiovascular Research Centre and MonashHeart, Monash Health , 246 Clayton Road , Clayton, VIC 3169, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3941-8693","authenticated-orcid":false,"given":"Satish","family":"Ramkumar","sequence":"additional","affiliation":[{"name":"Monash Cardiovascular Research Centre and MonashHeart, Monash Health , 246 Clayton Road , Clayton, VIC 3169, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4317-2529","authenticated-orcid":false,"given":"Phil","family":"Ha","sequence":"additional","affiliation":[{"name":"Monash Cardiovascular Research Centre and MonashHeart, Monash Health , 246 Clayton Road , Clayton, VIC 3169, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajay","family":"Raghunath","sequence":"additional","affiliation":[{"name":"Monash Cardiovascular Research Centre and MonashHeart, Monash Health , 246 Clayton Road , Clayton, VIC 3169, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Dundon","sequence":"additional","affiliation":[{"name":"Monash Cardiovascular Research Centre and MonashHeart, Monash Health , 246 Clayton Road , Clayton, VIC 3169, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,11,15]]},"reference":[{"key":"2022081608412668400_ytab408-B1","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1016\/S1010-7940(01)01027-2","article-title":"Delayed diagnosis of purulent pericarditis caused by esophagopericardial fistula by computed tomography scan and echocardiography","volume":"20","author":"Choi","year":"2001","journal-title":"Eur J Cardiothorac Surg"},{"key":"2022081608412668400_ytab408-B2","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1136\/pgmj.64.758.963","article-title":"Spontaneous tension pyopneumopericardium\u2014a case with recovery after surgery","volume":"64","author":"Bilbao-Garay","year":"1988","journal-title":"Postgrad Med J"},{"key":"2022081608412668400_ytab408-B3","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1136\/thx.28.2.250","article-title":"Pyopneumopericardium as a complication of oesophagogastrostomy","volume":"28","author":"Gago","year":"1973","journal-title":"Thorax"},{"key":"2022081608412668400_ytab408-B4","doi-asserted-by":"crossref","DOI":"10.1378\/chest.9511","article-title":"Pyopneumopericardium due to Group F Streptococci","volume":"138","author":"Goldberg","year":"2010","journal-title":"Chest"},{"key":"2022081608412668400_ytab408-B5","first-page":"232","article-title":"Benign pneumopericardium and tamponade","volume":"11","author":"Hadjis","year":"1995","journal-title":"Can J Cardiol"},{"key":"2022081608412668400_ytab408-B6","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1016\/S0003-4975(10)61146-0","article-title":"Pneumopericardium resulting in cardiac tamponade","volume":"37","author":"Cummings","year":"1984","journal-title":"Ann Thorac Surg"},{"key":"2022081608412668400_ytab408-B7","doi-asserted-by":"crossref","first-page":"2921","DOI":"10.1093\/eurheartj\/ehv318","article-title":"2015 ESC Guidelines for the diagnosis and management of pericardial diseases: the Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC)Endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS)","volume":"36","author":"Adler","year":"2015","journal-title":"Eur Heart J"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/5\/11\/ytab408\/45435280\/ytab408.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/5\/11\/ytab408\/45435280\/ytab408.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,16]],"date-time":"2022-08-16T08:41:48Z","timestamp":1660639308000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytab408\/6427504"}},"subtitle":[],"editor":[{"given":"Amardeep Ghosh","family":"Dastidar","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Brett Sydney","family":"Bernstein","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Fabienne","family":"Vervaat","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2021,11,1]]},"references-count":7,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2021,11,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytab408","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,11,1]]},"published":{"date-parts":[[2021,11,1]]},"article-number":"ytab408"}}