Thoracoscopic pericardial drainage for gastric tube ulcer penetrated into the pericardium

Peptic ulcer occurring in the gastric conduit for esophageal reconstruction sometimes penetrates into the mediastinal structures. We herein reported a case of pericardial penetration of gastric tube ulcer successfully treated with thoracoscopic pericardial drainage. A 66-year-old Japanese man, who h...

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Veröffentlicht in:Fukuoka igaku zasshi = Hukuoka acta medica 2013-10, Vol.104 (10), p.389-393
Hauptverfasser: Watanabe, Masayuki, Matsuura, Koki, Baba, Hideo, Yoshizumi, Tomoharu, Ikegami, Toru, Soejima, Yuji, Ikeda, Tetsuo, Kawanaka, Hirofumi, Uchiyama, Hideaki, Yamashita, Yo-ichi, Morita, Masaru, Oki, Eiji, Mimori, Koshi, Sugimachi, Keishi, Saeki, Hiroshi, Maehara, Yoshihiko
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container_issue 10
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container_title Fukuoka igaku zasshi = Hukuoka acta medica
container_volume 104
creator Watanabe, Masayuki
Matsuura, Koki
Baba, Hideo
Yoshizumi, Tomoharu
Ikegami, Toru
Soejima, Yuji
Ikeda, Tetsuo
Kawanaka, Hirofumi
Uchiyama, Hideaki
Yamashita, Yo-ichi
Morita, Masaru
Oki, Eiji
Mimori, Koshi
Sugimachi, Keishi
Saeki, Hiroshi
Maehara, Yoshihiko
description Peptic ulcer occurring in the gastric conduit for esophageal reconstruction sometimes penetrates into the mediastinal structures. We herein reported a case of pericardial penetration of gastric tube ulcer successfully treated with thoracoscopic pericardial drainage. A 66-year-old Japanese man, who had undergone esophagectomy for esophageal cancer 20 months before, visited our emergency room complaining severe back pain. Computed tomography revealed gastric tube ulcer penetrated into the pericardial space. Thoracoscopic pericardiotomy and drainage was performed and the patient made an uneventful recovery. Thoracoscopic pericardial drainage is useful to manage acute pyogenic pericarditis due to penetration of peptic ulcer which occurred in the gastric tube.
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Freely Accessible Japanese Titles
subjects Acute Disease
Aged
Drainage - methods
Esophageal Neoplasms - surgery
Esophagectomy
Humans
Intubation, Gastrointestinal - adverse effects
Intubation, Gastrointestinal - instrumentation
Male
Pericardiectomy
Pericarditis - etiology
Pericarditis - surgery
Pericardium - surgery
Postoperative Complications
Stomach Ulcer - etiology
Thoracoscopy - methods
title Thoracoscopic pericardial drainage for gastric tube ulcer penetrated into the pericardium
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