Gastropericardial Fistula as a Late Complication after Esophagectomy with Esophagogastrostomy: A case report / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 248-250, 2002.
Artigo
em Coreano
| WPRIM
| ID: wpr-121156
ABSTRACT
A 56 year-old man complaining of dry cough, dyspnea, chest pain, fever, and chills was admitted to the emergency room. The patient had a history of esophagectomy and esophagogastrostomy and subsequent radiotherapy because of an esophageal cancer. After the emergency echocardiography revealed a small amount of pericardial effusion and pneumopericardium. Upper GI contrast study showed a fistulous tract between the stomach and the pericardium, and an emergency operation was done under the diagnosis of gastropericardial fistula. The patient expired postoperative seven days later. Gastropericardial fistula caused by a peptic ulcer perforation after the esophagectomy and esophagogastrostomy operation is a very rare complication and brings forth a disastrous result. Early detection using the chest radiography, electrocardiogram, upper GI study, echocardiography and a review of physical examination, and an immediate treatment are therefore mandatory.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Úlcera Péptica
/
Úlcera Péptica Perfurada
/
Derrame Pericárdico
/
Pericárdio
/
Exame Físico
/
Pneumopericárdio
/
Radioterapia
/
Estômago
/
Tórax
/
Dor no Peito
Tipo de estudo:
Estudo diagnóstico
/
Estudo de rastreamento
Limite:
Humanos
Idioma:
Coreano
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
2002
Tipo de documento:
Artigo
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