Cardiac tamponade, an unusual and fatal complication of esophagus dilatation for benign stenosis: a case report.

Autor: Greven WL; Department of Intensive Care, Gelre Hospitals, Lukas site, Post office Box 9014, 7300 DS, Apeldoorn, The Netherlands. p.spronk@gelre.nl., Kooij N, Peters HM, Kardux J, Spronk PE
Jazyk: angličtina
Zdroj: Cases journal [Cases J] 2008 Dec 24; Vol. 1, pp. 419. Date of Electronic Publication: 2008 Dec 24.
DOI: 10.1186/1757-1626-1-419
Abstrakt: Introduction: We present a patient with a fatal late esophago-pericardial fistula three months after dilatation for benign oesophagus stenosis
Case Presentation: A 71-year-old caucasian male with a known benign esophagus stenosis was referred to the ICU. On arrival an asystole developed which proved to be due to a large pericardial effusion. Pericardial fluids were drained, but the patients' condition worsened and he died due to multiple organ failure. Postmortum investigation revealed an esophago-pericardial fistula.
Conclusion: Causes of an acute tamponade should also be sought in semirecent events, such as manipulation to the oesophagus months before the acute critical illness.
Databáze: MEDLINE
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