Case report of a 72-year-old man with diaphragmatic hernia and thoracic gastropericardial fistula after esophagectomy for 18 years

Abstract Background Both diaphragmatic hernia and thoracic gastropericardial fistula rarely occur simultaneously in patients with radical esophagectomy. Case presentation A 72-year-old man presented to our hospital 1 day of nausea, vomiting acute left chest pain. He had esophagectomy (Sweet approach) for esophageal cancer 18 years ago. Computed tomography (CT) the revealed hernias air collection within pericardial space. While an operation repair was decisively performed prevent further serious complications, unusually, a also found unusually. Conclusion Diaphragmatic may occasionally coexist Upper GI radiograph water-soluble contrast agent is better diagnostic tool than CT visualizing fistula.