A Case of Gastropericardial Fistula as a Complication after Esophagectomy with Esophagogastrostomy for Esophageal Cancer.
- Author:
Dong Kyun SON
1
;
Jae Kwang KIM
;
Ji Sung CHUNG
;
Don Hyoun JO
;
Hyung Keun KIM
;
Soo Heon PARK
;
Joon Yeol HAN
;
Kyu Won CHUNG
;
Hee Sik SUN
Author Information
1. Devision of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. jkkim@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Gastropericardial fistula;
Esophageal cancer operation
- MeSH:
Chest Pain;
Chills;
Cough;
Echocardiography;
Electrocardiography;
Emergency Service, Hospital;
Endoscopy;
Esophageal Neoplasms*;
Esophagectomy*;
Fever;
Fistula*;
Heart;
Humans;
Middle Aged;
Peptic Ulcer Perforation;
Pericardium;
Physical Examination;
Pneumopericardium;
Radiography;
Sepsis;
Stomach;
Stomach Ulcer;
Thorax;
Tomography, X-Ray Computed
- From:Korean Journal of Gastrointestinal Endoscopy
2004;29(1):13-16
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The gastric pedicle is commonly used for the reconstruction following the resection of esophageal cancer. We recently experienced a case in which gastric ulcer occurred eighteen months postoperatively. A 60 year-old man complaining of chest pain, dry cough, mild fever and chills was admitted to the emergency room. The patient had a history of esophagectomy and esophagogastrostomy because of esophageal cancer. Chest X-ray and CT scan showed pneumopericardium. Upper GI contrast study showed a fistulous tract between the stomach pedicle and the pericardium. Upper GI endoscopy showed beating heart through the fistulous opening. The patient expired with sepsis on the twenty second days after an emergent operation. Gastropericardial fistula caused by a peptic ulcer perforation after the esophgectomy and esophagogastrostomy operation is a very rare complication and brings a fatal result. Early detection using the chest radiography, electrocardiogram, echocardiography, upper GI study and physical examination, and an immediate treatment are therefore mandatory.
