Delayed diagnosis of purulent pericarditis caused by esophagopericardial fistula by computed tomography scan and echocardiography.
We report a case of esophagopericardial fistula with subsequent purulent pericarditis that was diagnosed with computed tomography and echocardiography. In a patient with non-specific chest pain and vague past history, serial echocardiography demonstrated rapid aggravation of pyopneumopericardium and chest CT scan showed a foreign body that caused the fistula in the esophageal wall. Removal of a piece of fish bone, closure of the fistula, and creation of a pericardial window for continuous drainage were performed through a low lateral thoracotomy.
Choi
J B
JB
Department of Thoracic and Cardiovascular Surgery, Wonkwang University Hospital, Iksan, South Korea. jobchoi@wonnms.wonkwang.ac.kr
Lee
S Y
SY
Jeong
J W
JW
D000328:Adult; D004452:Echocardiography; D004937:Esophageal Fistula / Q000150:complications* / Q000209:etiology; D004947:Esophagus; D005402:Fistula / Q000150:complications* / Q000209:etiology; D005547:Foreign Bodies; D006801:Humans; D008297:Male; D010493:Pericarditis / Q000175:diagnosis* / Q000209:etiology; D010496:Pericardium; D013492:Suppuration; D014057:Tomography, X-Ray Computed