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

Abstract

Introduction: We present a patient with a fatal late esophago-pericardial fistula three months after dilatation for benign oesophagus stenosis

A case of esophagopericardial fistula as a complication of upper gastro-intestinal endoscopy

“…The rarity of this condition allows for missed or late diagnosis which is also compounded by the non-specific nature of the clinical features and a high mortality rate may be the consequence of delayed treatment. [ 9 ] This case emphasizes the importance of being well acquainted with the potential complications of invasive procedures. A high index of suspicion is imperative and if a patient presents with symptoms after an invasive procedure, it should be assumed to be due to a complication of the procedure.…”

“…[9] This case emphasizes the importance of being well acquainted with the potential complications of invasive procedures. A high index of suspicion is imperative and if a patient presents with symptoms after an invasive procedure, it should be assumed to be due to a complication of the procedure.…”

Esophagopericardial fistula complicated by tension pyopericardium managed with a 3-incision esophagectomy

“… 3 , 4 A single case of tension pericarditis after esophageal dilation has been reported in the literature in a patient who died, and the diagnosis was confirmed on postmortem examination. 1 We report the first case of EPF after stricture dilation resulting in tension pyopericardium that was successfully managed with an urgent, 3-incision esophagectomy.…”

“…Esophagopericardial fistulization (EPF) is an extremely rare complication after esophageal stricture dilation. 1 , 2 Much rarer is fistulization into the pericardium causing cardiac tamponade, a life-threatening event. 3 , 4 A single case of tension pericarditis after esophageal dilation has been reported in the literature in a patient who died, and the diagnosis was confirmed on postmortem examination.…”