title: Thoracoscopic pericardial drainage for gastric tube ulcer penetrated into the pericardium.
abstract: 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. Thoracoscopic pericardial drainage is useful to manage acute pyogenic pericarditis due to penetration of peptic ulcer which occurred in the gastric tube.
authors: Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, Japan.
authors: Masayuki
authors: M
authors: Watanabe
authors: Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, Japan.
authors: Koki
authors: K
authors: Matsuura
authors: Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, Japan.
authors: Hideo
authors: H
authors: Baba
authors: Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
authors: Tomoharu
authors: T
authors: Yoshizumi
authors: Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
authors: Toru
authors: T
authors: Ikegami
authors: Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
authors: Yuji
authors: Y
authors: Soejima
authors: Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
authors: Tetsuo
authors: T
authors: Ikeda
authors: Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
authors: Hirofumi
authors: H
authors: Kawanaka
authors: Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
authors: Hideaki
authors: H
authors: Uchiyama
authors: Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
authors: Yo-ichi
authors: Y
authors: Yamashita
authors: Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
authors: Masaru
authors: M
authors: Morita
authors: Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
authors: Eiji
authors: E
authors: Oki
authors: Department of Surgery, Kyushu University Beppu Hospital, Fukuoka, Japan.
authors: Koshi
authors: K
authors: Mimori
authors: Department of Surgery, Kyushu University Beppu Hospital, Fukuoka, Japan.
authors: Keishi
authors: K
authors: Sugimachi
authors: Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
authors: Hiroshi
authors: H
authors: Saeki
authors: Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
authors: Yoshihiko
authors: Y
authors: Maehara
mesh_terms: D000208:Acute Disease; D000368:Aged; D004322:Drainage / Q000379:methods*; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects* / Q000295:instrumentation*; D008297:Male; D010492:Pericardiectomy; D010493:Pericarditis / Q000209:etiology* / Q000601:surgery*; D010496:Pericardium / Q000601:surgery*; D011183:Postoperative Complications; D013276:Stomach Ulcer / Q000209:etiology*; D013906:Thoracoscopy / Q000379:methods*