This is the case of a 56-year-old male who presented at our Emergency Room complaining of severe epigastric pain that radiated towards the left shoulder and neck. Pneumopericardium was diagnosed with plain chest X-rays, which indicated a gastropericardial fistula. A contrast X-ray film was taken using a water-soluble contrast. A full gastrectomy was performed with esophagojejunostomy reconstruc...

Pneumomediastinum, defined as the presence of air in mediastinum often occurs due to trauma, mechanical ventilation or surgical procedure. It may also occur spontaneously predisposing lung diseases such asthma and Chronic obstructive pulmonary airway disease (COPD). In this report, we present a case patient with COVID-19 pneumonia without any underlying conditions usual risk factors for pneumom...