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esophagectomy pericarditis

Masayuki Watanabe, Koki Matsuura, Hideo Baba, Tomoharu Yoshizumi, Toru Ikegami, Yuji Soejima, Tetsuo Ikeda, Hirofumi Kawanaka, Hideaki Uchiyama, Yo-ichi Yamashita, Masaru Morita, Eiji Oki, Koshi Mimori, Keishi Sugimachi, Hiroshi Saeki, Yoshihiko Maehara
Peptic ulcer occurring in the gastric conduit for esophageal reconstruction sometimes penetrates into the mediastinal structures. We herein reported a case of pericardial penetration of gastric tube ulcer successfully treated with thoracoscopic pericardial drainage. A 66-year-old Japanese man, who had undergone esophagectomy for esophageal cancer 20 months before, visited our emergency room complaining severe back pain. Computed tomography revealed gastric tube ulcer penetrated into the pericardial space. Thoracoscopic pericardiotomy and drainage was performed and the patient made an uneventful recovery...
October 2013: Fukuoka Igaku Zasshi, Hukuoka Acta Medica
U Imran Hamid, K Booth, K McManus
Fistula formation between the pericardium and the gastrointestinal tract is rare. Enteropericardial fistulae may present dramatically, many have prodromal symptoms even though they are not symptoms usually associated with esophageal disease. Prompt diagnosis and expedient surgery can result in survival. We describe three cases of enteropericardial fistulae diagnosed during emergency surgery for sepsis or hemorrhage. All had previous surgery though the details were not available to the operating surgeons because of the time that had passed since their original operation...
July 2013: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
J Llenas-García, A Lalueza-Blanco, M Fernández-Ruiz, J Villar-Silva, M Ochoa, F Lozano, M Lizasoain, J M Aguado
Cardiac tamponade constitutes an exceptional form of actinomycosis. We describe a case of primary hepatic actinomycosis presenting as purulent pericarditis with cardiac tamponade in a 20-year-old patient with previous esophagectomy and colonic interposition, successfully managed by computed tomography-guided percutaneous drainage and a prolonged course of antibiotic treatment. Actinomyces israelii was identified in the pericardial fluid by 16S rRNA gene sequencing. The literature on the simultaneous presentation of cardiac and hepatic actinomycosis is reviewed...
June 2012: Infection
Paul Achouh, Julia Pouly, Arshid Azarine, Jean-Noël Fabiani
A 75-year-old male, known to have achalasia, was admitted to the intensive care unit with massive upper gastrointestinal bleeding and sepsis. He had a history of purulent pericarditis 18 months earlier. He also presented with atrial fibrillation associated with a cerebral transient ischemic accident two months earlier. A contrast computed tomography scan showed an atrio-esophageal fistula with active extravasation of contrast. He was operated on via a median sternotomy, and the defects in the atrial wall, inferior vena cava and diaphragm were closed using pericardial patches...
August 2011: Interactive Cardiovascular and Thoracic Surgery
S Matsumoto, T Takayama, T Tamamoto, K Wakatsuki, K Enomoto, T Tanaka, K Migita, I Asakawa, M Hasegawa, Y Nakajima
Surgery and radiation therapy have been used to treat esophageal squamous cell carcinoma. However, treatment outcomes have not yet been extensively investigated. The aim of this study was to compare surgery and radiation therapy for clinical T1 esophageal squamous cell carcinoma. A total of 67 clinical T1 esophageal squamous cell carcinoma patients were treated between January 1997 and December 2005; 29 had undergone radical esophagectomy (surgery group) and 38 were treated with definitive radiation therapy (radiation group)...
August 2011: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
Sudish C Murthy, Maria Solovera Rozas, David J Adelstein, David P Mason, Royce Calhoun, Lisa A Rybicki, Jingyuan Feng, Eugene H Blackstone, Thomas W Rice
HYPOTHESIS: Limited information is available on late complications of multimodality therapy for locally advanced esophageal cancer. This study focuses on postesophagectomy benign pleural and pericardial complications to determine their prevalence, temporal pattern, and treatment, and their association with induction chemoradiotherapy and influence on survival. METHODS: Between March 1987 and November 2001, 291 patients with clinical stage > or = IIA esophageal cancer underwent esophagectomy; 106 received induction chemoradiotherapy...
March 2009: Journal of Thoracic Oncology
Silvia Michieletto, Alberto Ruol, Matteo Cagol, Rita Alfieri, Carlo Castoro, Salvatore Marano, Chiara Tosolini, Ermanno Ancona
Esophagopericardial fistula is a rare and severe complication, involving several benign, malignant and traumatic pathologies of the esophagus. Only few cases of esophagopericardial fistula have been published so far, as compared to more frequently reported cases of gastropericardial fistula. We report on a 25-year-old female with an esophagopericardial fistula following retrosternal esophagogastroplasty for esophageal caustic stenosis. One month before admission to our hospital, the patient had fever and nonradiating substernal chest pain which was relieved by aspirin, unfortunately without adequate antacid therapy...
May 2007: Annali Italiani di Chirurgia
Zhongxing Liao, James D Cox, Ritsuko Komaki
Cancer of the esophagus continues to be a threat to public health. The common practice is esophagectomy for surgically resectable tumors and radiochemotherapy for locally advanced, unresectable tumors. However, local regional tumor control and overall survival of esophageal cancer patients after the standard therapies remain poor, approximately 30% of patients treated with surgery only will develop local recurrence, and 50% to 60% patients treated with radiochemotherapy only fail local regionally due to persistent disease or local recurrence...
June 2007: Journal of Thoracic Oncology
Yoshiaki Mizuguchi, Shinhiro Takeda, Masao Miyashita, Hiroyuki Ikezaki, Yushi Nakajima, Shinji Akada, Hiroshi Makino, Ryohei Futami, Masao Arai, Koji Sasajima, Takashi Tajiri, Keiji Tanaka
We report a rare case of cardiac tamponade after esophageal resection for esophageal cancer. A 69-year-old man underwent subtotal esophagectomy and reconstruction of the gastric tube with cervical anastomosis via the poststernal route and three-field lymphadectomy via a median sternotomy. On postoperative day 4, the patient developed dyspnea, chest oppression, and hemodynamic instability due to cardiac tamponade. Emergency percutaneous catheter drainage was performed to manage the cardiac tamponade. Acute pericarditis due to the original surgical procedure was suspected to be the cause of the tamponade...
2005: Journal of Anesthesia
Toshiki Matsubara
No abstract text is available yet for this article.
December 2002: European Journal of Cardio-thoracic Surgery
C Defouilloy, G Meyer, M Slama, C Galy, P Verhaeghe, G Touati, M Ossart
Since the introduction of antibiotics into clinical practice, purulent pericarditis has become a rare disease. The major complication of the standard management for this condition is constrictive pericarditis. We report two cases of purulent pericarditis in which intrapericardial fibrinolysis was performed in order to minimize this complication. The first case was a 38-year-old man admitted to our intensive care unit (ICU) for management of constrictive pericarditis complicating purulent pericarditis diagnosed 17 days previously...
January 1997: Intensive Care Medicine
R Badaoui, N Hassi, T Thouvenin, M Riboulot
No abstract text is available yet for this article.
1996: Cahiers D'anesthésiologie
J C Coelho, L M Moraes, F H Greca, G V Artigas
A case of gastroatrial fistula following resection of a carcinoma of the mid-esophagus and re-establishment of the alimentary tract with a cervical esophagogastrostomy is presented. Three episodes of moderate upper gastrointestinal hemorrhage secondary to chronic peptic ulcer of the stomach placed in the thorax occurred three years after the operation. At this time, the patient was also admitted to the hospital with diagnosis of pericarditis of unknown etiology. Three years later the patient had a massive and fatal episode of upper gastrointestinal bleeding...
April 1989: International Surgery
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