Reactive pleuropericarditis following laparoscopic fundoplication.
Postpericardiotomy syndrome is not uncommon following cardiac surgery. The syndrome is characterized by fever, chest pain, leucocytosis, and signs of pericardial and pleural effusions. A patient with similar symptoms after laparoscopic treatment of reflux esophagitis is reported. Antibiotic treatment had no effect on a suspected bacteriological infection. There was a dramatic clinical response to corticosteroid treatment. The etiology and pathogenesis of the syndrome are discussed.
Viste
A
A
Department of Surgery, Haukeland Hospital, University of Bergen, Norway.
Horn
A
A
Lund-Tønnessen
S
S
D000328:Adult; D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004942:Esophagitis, Peptic / Q000601:surgery; D005500:Follow-Up Studies; D018662:Fundoplication / Q000009:adverse effects*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D018410:Pneumonia, Bacterial / Q000188:drug therapy / Q000209:etiology; D011185:Postpericardiotomy Syndrome / Q000188:drug therapy / Q000209:etiology*; D011241:Prednisone / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; D005938:Glucocorticoids; D011241:Prednisone; D006854:Hydrocortisone