Cases journal · 2008
Cardiac tamponade, an unusual and fatal complication of esophagus dilatation for benign stenosis: a case report.
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Greven Wendela L, Kooij Nicole, Peters Herman M, Kardux Joost, Spronk Peter E
Аннотация
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.
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.