Korean J Thorac Cardiovasc Surg.  2002 Mar;35(3):248-250.

Gastropericardial Fistula as a Late Complication after Esophagectomy with Esophagogastrostomy: A case report

• Kim TG
• Kang JH
• Chung WS
• Kim YH
• Kim H
• Jee HO
• Lee CB
• Ham SY
• Jeon SC

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.

Keyword

Gastric fistula; Peptic ulcer; Complication; Esophagogastrostomy

MeSH Terms

Chest Pain
Chills
Cough
Diagnosis
Dyspnea
Echocardiography
Electrocardiography
Emergencies
Emergency Service, Hospital
Esophageal Neoplasms
Esophagectomy*
Fever
Fistula*
Gastric Fistula
Humans
Middle Aged
Peptic Ulcer
Peptic Ulcer Perforation
Pericardial Effusion
Pericardium
Physical Examination
Pneumopericardium
Radiography
Radiotherapy
Stomach
Thorax