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Right arrow Esophagus - cancer

Ann Thorac Surg 2003;75:288-289
© 2003 The Society of Thoracic Surgeons

Case report

Esophageal-pericardial fistula with purulent pericarditis secondary to esophageal carcinoma presenting with tamponade

Jeddediah Kaufman, MDa, Nisa Thongsuwan, MDb, Eric Stern, MDb, Riyad Karmy-Jones, MDa*

a Department of Surgery, Seattle, Washington, USA
b Department of Radiology, University of Washington, Seattle, Washington, USA

Accepted for publication July 31, 2002.

* Address reprint requests to Dr Karmy-Jones, Division of Thoracic Surgery, Box 359796, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, USA
e-mail: karmy{at}u.washington.edu

A case of esophago-pericardial fistula secondary to esophageal carcinoma causing pericardial effusion and tamponade is presented. Palliation can be achieved effectively by limited thoracotomy, pericardial resection and drainage, and in selected cases esophageal stenting.




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