Wada Noriko, Takachi Ko, Fukuda Nijie, Harada Soichiro, Shimaoka Takahiro, Sato Hiromichi, Matsuura Yusuke, Munakata Koji, Takiuchi Daisuke, Hama Naoki, Furukawa Tetsuo, Ota Hirofumi
Dept. of Gastroenterological Surgery, Ikeda City Hospital.
Gan To Kagaku Ryoho. 2022 Dec;49(13):1619-1621.
A 52-year-old man underwent total gastrectomy for gastric cancer and chemoradiotherapy for thoracic paraaortic lymph node metastasis. He also underwent esophageal stent implantation for stenosis. He was admitted to our hospital with fever and breathing difficulty and was diagnosed with infectious pericarditis. He showed symptoms of shock due to cardiac tamponade. After pericardial drainage, his vital signs improved. When signs of infection are detected in patients with a history of chemoradiotherapy or stent implantation, we should consider infectious pericarditis due to esophageal pericardial fistula and apply immediate drainage of cardiac tamponade.
一名52岁男性因胃癌接受了全胃切除术，并因胸段主动脉旁淋巴结转移接受了放化疗。他还因狭窄接受了食管支架植入术。他因发热和呼吸困难入住我院，被诊断为感染性心包炎。由于心脏压塞，他出现了休克症状。心包引流后，他的生命体征有所改善。对于有放化疗或支架植入史的患者，当检测到感染迹象时，我们应考虑食管心包瘘导致的感染性心包炎，并立即进行心脏压塞引流。
