Cardiomediastinal tamponade and shock following three-stage transthoracic oesophagectomy.
J Postgrad Med
;
2001 Jul-Sep; 47(3): 185-7
Article
in English
| IMSEAR
| ID: sea-115673
ABSTRACT
Massive gastric tube dilatation causing cardiomediastinal tamponade is an unusual cause of obstructive shock after transthoracic oesophagectomy. A 55-year-old female was operated for total transthoracic oesophagectomy. Twelve hours after the surgery, she developed hypotension and raised central venous pressure unresponsive to fluid infusion and ionotropes. X-ray chest showed a massively dilated stomach, which was causing intrathoracic tamponade. Suction applied to the nasogastric tube led to aspiration of 150-200 ml of fluid and a large volume of air, which led to resolution of the haemodynamic instability. A simple manoeuvre like nasogastric suction in postoperative case of oesophagectomy can serve as a diagnostic as well as therapeutic tool. It must be performed before resorting to invasive and expensive examination or intervention.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Postoperative Complications
/
Suction
/
Blood Pressure
/
Female
/
Humans
/
Esophageal Neoplasms
/
Carcinoma, Squamous Cell
/
Cardiac Tamponade
/
Esophagectomy
/
Diagnosis, Differential
Type of study:
Diagnostic study
Language:
English
Journal:
J Postgrad Med
Year:
2001
Type:
Article
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