导致脓性心包积气的食管心包瘘
Esophagopericardial Fistula Causing Pyopneumopericardium.
作者信息
Bowman Andrew W, DiSantis David J, Frey R Terrell
机构信息
Department of Radiology, Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL 32224.
出版信息
Radiol Cardiothorac Imaging. 2020 Dec 10;2(6):e200417. doi: 10.1148/ryct.2020200417. eCollection 2020 Dec.
Abstract
An esophagopericardial fistula is a rare complication of esophageal malignancy, trauma, or surgery. Imaging is a cornerstone of diagnosis, with detection of pneumopericardium or hydropneumopericardium at imaging raising suspicion for pyopneumopericardium and prompting immediate search for the causative pathologic process. Given the high associated mortality rate of over 50% for patients with esophagopericardial fistulas, early diagnosis and intervention are vital. Supplemental material is available for this article. © RSNA, 2020.
摘要
食管心包瘘是食管恶性肿瘤、创伤或手术的一种罕见并发症。影像学检查是诊断的基石，影像学检查发现心包积气或液气胸会增加对脓性心包炎的怀疑，并促使立即寻找病因病理过程。鉴于食管心包瘘患者的相关死亡率高达50%以上，早期诊断和干预至关重要。本文有补充材料。©RSNA，2020。
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