Gastropericardial fistula resulting from ulcerative perforation of the reconstructed gastric tube after surgery for esophageal cancer
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Hironori Yamaguchi Masahiro Kato Noriko Tada Koji Murono Hironori Ishigami Shoichi Kaisaki Joji Kitayama Hirokazu Nagawa
- چاپ و سال / کشور: 2010
Description
Gastropericardial fistulae are rare and may cause fatal complications such as acute purulent carditis and cardiac tamponade. The present report describes a case of a gastropericardial fistula caused by a peptic ulcer perforating a retrosternal reconstructed gastric tube 2 years after subtotal esophagectomy for esophageal cancer. Surgical intervention involved left thoracotomy, pericardium fenestration, and drainage of the pericardium and left thoracic cavity. The patient suffered postoperative complications including septic shock, acute respiratory distress syndrome, and cardiac insufficiency; however, he recovered after successful surgical intervention. In this case, the withdrawal of proton pump inhibitors and the patient’s sustained drinking habit after esophageal replacement surgery may have caused peptic ulcers in the gastric tube. Early diagnosis and surgical treatment of gastropericardial fistulae are essential to avoid fatal complications.
Esophagus (2011) 8:137–141 DOI 10.1007/s10388-011-0275-7 Received: 5 December 2010 / Accepted: 10 April 2011 / Published online: 10 May 2011
