Malignant oesophago-pleuro-pericardial fistula in a patient with oesophageal carcinoma

Wiedmann, Marcus; Hagendorff, Andreas; Böhm, R.; Schulz, Tim J.; Mössner, Joachim; Caca, Karel

doi:10.1007/s00392-005-0235-0

Cited by 6 publications

(3 citation statements)

References 13 publications

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“…Gastrobronchial and similar fistulae arising under various conditions have been described in the literature. For example, such fistulae have been reported as a complication of posterolateral hernia of the diaphragm, as an iatrogenic consequence of esophageal perforation during tracheotomy or use of a feeding tube, following esophagectomies, partial esophageal resections, gastrectomy, splenectomy or gastroplasty for obesity, as a sequela of esophageal carcinoma, and as a complication of recurrent pancreatitis, subphrenic abscess, neoplastic disorders, penetration trauma or perforated peptic ulcer [2][3][4][5][6][7][8][9][10][11]. One recognized cause is gunshot wounds to the thorax that may also penetrate the upper abdomen.…”

Section: Discussionmentioning

confidence: 99%

Conservative Management of a Delayed Benign Gastrobronchial Fistula: A 20-Year Follow-up

Shoja

Ansarin

2019

Cureus

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We describe a case of gastrobronchial fistula (GBF) following a thoracoabdominal gunshot wound in a previously healthy young man. Despite initial surgery, the patient suffered recurrent hemoptysis, and a GBF was diagnosed 18 months after initial presentation. The patient was treated with oral proton pump inhibitors for a prolonged period with the resolution of the fistula. During a follow-up 20 years later, no recurrence of the fistula was noted. The importance of early diagnosis of such fistulae cannot be overstated. This report provides a testimony to the feasibility of the conservative approaches in managing delayed, benign, and post-traumatic GBF.

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Section: Discussionmentioning

confidence: 99%

Conservative Management of a Delayed Benign Gastrobronchial Fistula: A 20-Year Follow-up

Shoja

Ansarin

2019

Cureus

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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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“…The incidence of iatrogenic pericardial-pleural fistula has been defined post endeavored drainage of pericardial outpouring (post-traumatic) [ 14 ] and afterward penetration by esophageal warp. [ 15 ]…”

Section: Introductionmentioning

confidence: 99%

Extraction of a dual-chamber pacemaker and inserting of a new automatic implantable cardioverter defibrillator

Kiuchi¹,

Lobato²,

Chen

2017

Medicine

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Background:The cardiovascular illnesses are in the middle of the foremost reasons of death around the world. Deaths in Europe, from sudden cardiac death (SCD), reach nearby 700,000 individuals every year. In the United States, statistics point to the existence of nearly 1 million yearly deaths from cardiovascular sickness, of which 330,000 are the consequence of abrupt. The significance of automatic implantable cardioverter-defibrillator (ICD) has been proven in subjects with preceding myocardial infarction and stark systolic left ventricular dysfunction (secondary prevention).Case Presentation:In this case, we describe a female patient, 94 years old, with a dual-chamber pacemaker since 2014, normal functioning, and controlled hypertension. The patient was in use of bisoprolol 10 mg daily, hydrochlorothiazide 25 mg daily, and candesartan cilexetil 16 mg daily. She presented 2 episodes of syncope associated with the high ventricular rate (HVR), which characterizes sustained ventricular tachycardia (SVT) due to its instability, besides 1 episode of cardiorespiratory arrest. During an attempt to position the active monocoil shock lead in the right ventricle, there was perforation of the upper posterolateral wall of the right atrium, transfixing the pericardium and constituting a pericardial-pleural fistula with hemothorax formation in the right hemithorax. We chose to remove the electrodes and suture the left pocket. There was no cardiac tamponade or pericardial effusion, verified by a pericardial puncture. Thoracic drainage was introduced into the right hemithorax, and 3 L of blood were drained acutely with volume replacement and hemotransfusion. We maintained thoracic drainage in water seal. The ICD was implanted on the right side.Conclusion:So, in this case, we reported a rare complication during pacemakers or ICD implantation that is the pericardial-pleural fistula with hemothorax formation in the contralateral hemithorax. Despite the patient's advanced age, we had the dexterity and luck to save her life.

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Malignant oesophago-pleuro-pericardial fistula in a patient with oesophageal carcinoma

Cited by 6 publications

References 13 publications

Conservative Management of a Delayed Benign Gastrobronchial Fistula: A 20-Year Follow-up

Conservative Management of a Delayed Benign Gastrobronchial Fistula: A 20-Year Follow-up

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

Extraction of a dual-chamber pacemaker and inserting of a new automatic implantable cardioverter defibrillator

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