Oesophago-pericardial fistula and cardiac tamponade after oesophagoscopy

Jk, Mellon; If, Galvin; Pc, Bowe; Gibbons,; Mh, Maghout

doi:10.1016/1010-7940(88)90084-x

Cited by 3 publications

(2 citation statements)

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“…Of the four that did not survive, 10,11,23,30 one patient had a removal of jejunal loop and re‐anastomosis of stomach 10 . One left the fistula in place and performed a bypass, 11 and one patient had placement of a pericardial flap 30 …”

Section: Discussionmentioning

confidence: 99%

“…Esophageal surgeons need to be aware of the late complications and associated atypical symptoms of historical procedures which are no longer in common usage. Where an enteropericardial fistula is present, defunctioning of the upper GI tract or repair with transposition of vascularized tissue gives a better chance of a successful outcome.

Summary of treatment strategies for enteropericardial fistulae Types of surgical management Patient outcome Number of patients defunctioned Number of patients with surgical management (interposition including redo fundoplication) Number of patients with nondefunctioning or noninterposition surgery Number of patients with nonsurgical management Number of patients who died during initial resuscitation or surgery (excluding those treated conservatively initially) Resection and transposition of healthy viscusAlive[7] 1,2,5–9 Dead[2] 10,11 (including one substernal bypass)Gastropericardial fistula associated with hiatal hernia ± fundoplicationAlive[9] 12–20 [3] 21,22 (including one alive but with unresolved fistula)Dead[1] 23 [2] 24,25 [2] 3,26 (including one with late surgery)[1] 26 Post surgery for esophageal stricture or atresiaAlive[5] 27–29 (including current case 1 & 2)[1] 30 [1] 31 Dead[3] 32–34 [4] 26,35,36 [1] 37 Post surgery for upper GI malignancyAlive[1] 38 [2] 39,40 [1] 41 Dead[3] 42–44 [4] 45–48 (including one stent)[1] 49 (Autopsy)Upper GI malignancy – nonsurgicalAlive[2] 4,50 (including one stent)Dead[1] 51 [6] 52–57 (including two stents)Miscellaneous (trauma, peptic ulcer)Alive[1] 58 [3] 59,6...

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Is the way to a man's heart through his stomach? Enteropericardial fistula: case series and literature review

Hamid

Booth

McManus

2012

Diseases of the Esophagus

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Fistula formation between the pericardium and the gastrointestinal tract is rare. Enteropericardial fistulae may present dramatically, many have prodromal symptoms even though they are not symptoms usually associated with esophageal disease. Prompt diagnosis and expedient surgery can result in survival. We describe three cases of enteropericardial fistulae diagnosed during emergency surgery for sepsis or hemorrhage. All had previous surgery though the details were not available to the operating surgeons because of the time that had passed since their original operation. All three patients survived, albeit with prolonged hospital stay and repeated surgery. A review of the English language literature revealed 95 cases (Table 1). Fifty-eight had a history of previous surgery, particularly fundoplication or esophagectomy. Ten had advanced malignancy and were treated conservatively. All eight patients with fistulae, which were iatrogenic or due to foreign bodies, survived without aggressive surgery. For more extensive pathology, a successful outcome was achieved in 32 of the 36 cases when the upper gastrointestinal (GI) tract was defunctioned because of the presence of major sepsis or because the healthy vascularized tissue was transposed into the area at risk for further fistula formation. Where less aggressive surgery was performed only 12 of 27 patients survived (P < 0.0001). Esophageal surgeons need to be aware of the late complications and associated atypical symptoms of historical procedures which are no longer in common usage. Where an enteropericardial fistula is present, defunctioning of the upper GI tract or repair with transposition of vascularized tissue gives a better chance of a successful outcome. [Table: see text].

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Section: Discussionmentioning

confidence: 99%

…”

mentioning

confidence: 99%

Is the way to a man's heart through his stomach? Enteropericardial fistula: case series and literature review

Hamid

Booth

McManus

2012

Diseases of the Esophagus

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

Wiedmann

Hagendorff²,

Böhm³

et al. 2005

ZS Kardiologie

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Pericardial and cardiac fistulae secondary to oesophageal or gastric tumours are a rare complication. We report about a 50-year-old male patient with a 10-month history of distal oesophageal carcinoma with lung and liver metastases who was referred to our hospital after 6 cycles of palliative chemotherapy at the beginning of March 2004. The patient presented with dysphagia, dyspnea, tachycardia, and hypotension. Purulent pericardial and bilateral pleural effusion was diagnosed, and the patient was treated with antibiotics, repeated pleurocentesis and pericardial drainage with daily polihexanide lavage. Oesophagogastroduodenoscopy, Peritrast swallow and computed tomographic scans of chest revealed a malignant oesophago-pleuro-pericardial fistula. A total of three coated, expandable metal stents were inserted into the oesophagus, which sealed successfully the fistula. Unfortunately, the patient succumbed to his carcinoma three months later.

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Radiographic Demonstration of Esophageal and Tracheal Fistulas at Autopsy Using a Contrasting Medium That Vulcanizes at Room Temperature

Karhunen

Lalu

1991

Journal of Forensic Sciences

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Esophageal and tracheal fistulas, which occur in 0.05% of medicolegal autopsies, were demonstrated in three cases by a postmortem radiographic technique using silicone rubber/lead oxide as a contrasting medium that vulcanizes at room temperature. In one 83-year-old male, a tracheoesophageal fistula was detected, which had developed after surgical repair of an esophageal rupture caused by a flexible fiberoptic endoscope. In a second case, carcinoma of the esophagus in a 78-year-old male had eroded the trachea and arcus of the aorta creating a fatal tracheoesophagoaortic fistula. In a third case, 55-year-old female developed a tracheobrachiocephalic artery fistula as a result of an infiltrating cystic adenocarcinoma of the trachea, resulting in a fatal hemorrhage into the trachea. The results of this study indicate that diagnostic radiologic methods using a vulcanized contrasting medium are useful in supplementing normal dissection in autopsy cases with suspected fistulas of the esophagus or trachea.

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Oesophago-pericardial fistula and cardiac tamponade after oesophagoscopy

Cited by 3 publications

References 0 publications

Is the way to a man's heart through his stomach? Enteropericardial fistula: case series and literature review

Is the way to a man's heart through his stomach? Enteropericardial fistula: case series and literature review

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

Radiographic Demonstration of Esophageal and Tracheal Fistulas at Autopsy Using a Contrasting Medium That Vulcanizes at Room Temperature

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