Cardiac tamponade and constrictive pericarditis complicating endoscopic sclerotherapy.
We report a case of suspected esophageal perforation with injection of a sclerosing agent into the pericardium during endoscopic sclerotherapy of esophageal varices. Immediately after the procedure, the patient developed fever and a pericardial friction rub. Eight months later, he presented with cardiac tamponade and constrictive pericarditis. This complication should be considered whenever a patient presents with inadequate cardiac output, venous congestion, and a pulsus paradoxus following sclerotherapy.
Medical Service, Veterans Administration Medical Center, Houston.
D L
DL
Brown
R J
RJ
Luchi
D000328:Adult; D002305:Cardiac Tamponade / Q000139:chemically induced*; D004724:Endoscopy / Q000009:adverse effects*; D004947:Esophagus / Q000293:injuries; D006801:Humans; D008297:Male; D010494:Pericarditis, Constrictive / Q000139:chemically induced*; D012597:Sclerosing Solutions / Q000009:adverse effects*; D014950:Wounds, Penetrating
D012597:Sclerosing Solutions