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A Rare Case of an Esophageal-Pericardial Fistula With Large Pericardial Effusion and Pyopneumopericardium in the Setting of Gastric Adenocarcinoma.

作者信息

Farhud Samer, Anzelmo Michael, AlSejari Najat Y

机构信息

Internal Medicine, Ochsner Medical Center, New Orleans, USA.

Internal Medicine, Jaber Hospital, Kuwait City, KWT.

出版信息

Cureus. 2025 May 15;17(5):e84199. doi: 10.7759/cureus.84199. eCollection 2025 May.

DOI:10.7759/cureus.84199
PMID:40525002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12168762/
Abstract

An esophageal-pericardial fistula (EPF) is a rare, life-threatening complication of esophageal disease, most commonly occurring due to esophageal carcinoma. It can result in pericardial effusion, cardiac tamponade, and air in the pericardium or cardiac chambers, further complicating the clinical course. An EPF usually occurs in esophageal-related cancers and, less commonly, gastric-related cancers. This study presents a case of an EPF in an 86-year-old male with adenocarcinoma of the gastric cardia, complicated by a large pericardial effusion with transient tamponade physiology. Imaging, such as a CT esophagram, confirmed tract communication, and supportive imaging, such as echocardiograms, confirmed complications.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e124/12168762/fead0e52dd14/cureus-0017-00000084199-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e124/12168762/fead0e52dd14/cureus-0017-00000084199-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e124/12168762/fead0e52dd14/cureus-0017-00000084199-i01.jpg

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本文引用的文献

1
Esophagopericardial fistula complicated by tension pyopericardium managed with a 3-incision esophagectomy.食管心包瘘合并张力性脓性心包炎，采用三切口食管切除术治疗。
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食管心包瘘：伪装成羊的狼。
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Biosci Rep. 2020 Jan 31;40(1). doi: 10.1042/BSR20193379.
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Lessons of the month 1: Fatal oesophago-pericardial fistula with cerebral air embolism after elective atrial fibrillation ablation.本月教训 1：择期房颤消融术后致死性食管-心包瘘伴脑空气栓塞。
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2015 ESC Guidelines for the diagnosis and management of pericardial diseases: The Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC)Endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS).2015年欧洲心脏病学会（ESC）心包疾病诊断和管理指南：欧洲心脏病学会（ESC）心包疾病诊断和管理工作组 认可机构：欧洲心胸外科学会（EACTS）
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Contribution of computed tomography with oral media contrast to the diagnosis of esophago-pericardial fistula.口服造影剂计算机断层扫描对食管心包瘘诊断的贡献
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