ACEVEDO, J. A.; CABALLERO, J. G.; LENCINAS, A.; CÓRDOBA, M.; PESQUÍN, M. We report the case of a 73-year- old female patient with vomiting, aspiration pneumonia and constitutional symptoms. The imaging tests showed total gastric herniation in the pericardial sac through a pericardio-peritoneal window previously created. The case was solved with surgery. The therapeutic options for persistent pericardial effusion are considered. Intrapericardial gastric hernia as a complication, its clinical presentation, intraoperative findings, complementary tests and treatment are discussed. Revista Argentina de Cirugía, [S. l.], v. 112, n. 2, p. 193–196, 2021. DOI: 10.25132/raac.v112.n2.1438.es. Disponível em: https://revista.aac.org.ar/index.php/RevArgentCirug/article/view/79. Acesso em: 16 apr. 2026.