Oesophageal fistula-related pneumopericardium secondary to radiochemotherapy

[Pneumopericardium caused by gastropericardial fistula].

This is the case of a 56-year-old male who presented at our Emergency Room complaining of severe epigastric pain that radiated towards the left shoulder and neck. Pneumopericardium was diagnosed with plain chest X-rays, which indicated a gastropericardial fistula. A contrast X-ray film was taken using a water-soluble contrast. A full gastrectomy was performed with esophagojejunostomy reconstruc...

Tension Pneumopericardium Secondary to Gastropericardial Fistula Presenting as Acute Pericarditis With Cardiac Tamponade Physiology.

Pneumopericardium demonstrated by radiolucency within the pericardial space. Online Video 1 demonstrates this finding in motion. A 44-year-old man with prior Nissen fundoplication presented with chest pain, hypotension, tachycardia, and inferior ST-segment elevation on electrocardiography. Coronary angiography demonstrated normal coronaries, and left ventriculography revealed radiolucency in th...

Medication-induced oesophageal injury leading to broncho-oesophageal fistula.

Medication-induced oesophageal injury is one of the least recognised side-effects of oral medication and, in contrast to other oesophageal pathologies, is rarely considered in the differential diagnosis of chest pain. We describe a case of medication-induced oesophageal injury with a rare complication in which the diagnosis was not considered until the characteristic features were demonstrated ...

Oesophageal Atresia with Double Tracheo-oesophageal Fistula.

Post-pneumonectomy oesophageal fistula.

The complication of oesophagopleural fistula is described in eight of 1,389 patients (0 5%) who underwent pneumonectomy for carcinoma of the bronchus. All the patients had a right pneumonectomy performed and seven of the eight patients developed a bronchopleural fistula before developing an oesophageal fistula. The complication appeared between two weeks and 22 months after pneumonectomy. All t...