Esophago-pericardial fistula with development of hydro-pneumo-pericardium resulting in hemodynamic instability: an unusual complication of esophageal cancer

Javaid, Toseef; Khan, Zubair; Hasan, Syed; Siddiqui, Nauman; Nawras, Ali

doi:10.1007/s11739-018-1860-8

Cited by 2 publications

(1 citation statement)

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“…There have been previously reported cases of cardiac tamponade or purulent pericarditis in oesophageal cancer patients in the setting of an OPF. Most of them have been reported as a result of radiation and chemotherapy or stenting 3 7–11. Some of them were already known to have oesophageal cancer before the development of the cardiac tamponade 12.…”

Section: Introductionmentioning

confidence: 99%

Cardiac tamponade and purulent pericarditis secondary to an oesophageal pericardial fistula as an initial presentation of squamous cell carcinoma of the oesophagus

Abdullah¹,

Khan

Wasekar

et al. 2019

BMJ Case Rep

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Pericardial effusions resulting in a cardiac tamponade have previously been reported with oesophageal cancers. However, most of these cases have been reported in association with radiation and chemotherapy. Rarely as oesophageal pericardial fistuls (OPF) have been reported as the culprits in causing pericardial effusions in patients with oesophageal cancers. Here we present the case of a 61-year-old woman who presented clinically with cardiac tamponade. She was found to have an OPF due to oesophageal squamous cell cancer that resulted in a purulent pericardial effusion. She underwent a median sternotomy, pericardial decompression, and mediastinal debridement. An oesophageal stent was attempted unsuccessfully. The patient refused any more aggressive treatments and was discharged to a hospice where she passed away 13 days after presentation. This case and the associated literature review highlights an unusual presentation of oesophageal cancer and an uncommon cause of cardiac tamponade.

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Section: Introductionmentioning

confidence: 99%