Esophago-pericardial fistula during the course of primary esophageal carcinoma.
The study presented a case of an esophago-pericardial fistula during the course of primary esophageal carcinoma. The occurrence of this was insidious, with the first symptom being pericardial sac tamponade. After full diagnostics the patient was qualified for surgery. The patient was subjected to videothoracoscopy, left-sided thoracotomy, fenestration, and pericardial sac drainage, with placement of a self-expandable esophageal prosthesis. During the course of the disease the patient required bronchial tree patency restoration and prosthesis application. The patient survived 329 days.
Włodarczyk
Janusz
J
Department of General Thoracic Surgery, John Paul II Hospital, Cracow, Poland.
Olechnowicz
Henryk
H
Kocoń
Piotr
P
D001707:Biopsy, Needle; D002277:Carcinoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D004937:Esophageal Fistula / Q000209:etiology / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000473:pathology / Q000601:surgery*; D035583:Rare Diseases; D018570:Risk Assessment; D013908:Thoracotomy / Q000379:methods; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome