Pericarditis: a rare complication of fully covered self-expandable metallic stent in postoperative benign anastomotic stricture.

Benign esophageal strictures are traditionally treated by endoscopic dilation with bougies or balloons [1,2]. Fully covered, self-expandable, metallic stents (SEMS) have been used in the treatment of benign esophageal disease, with the benefits of removability and low incidence of tissue hyperplasia [3]. However, significant complications, such as stent migration, recurrent stricture, or erosions into vital structures may occur [4,5]. We report on a novel case of pericarditis in a patient with recurrent postoperative benign anastomotic stricture, which was managed by placement of a fully covered SEMS. A 71-year-old man presented at the emergency department with dyspnea and acute chest pain 3 months after endoscopic placement of a fully covered SEMS. He had undergone total gastrectomy with esophagojejunostomy 2 years earlier for gastric cancer. Upper endoscopy 6months before the current admission showed a marked stricture at the anastomotic site of esophagojejunostomy (●" Fig.1). RecurFig.3 Complete electrocardiography showed ST elevation in multiple leads.