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Primary purulent bacterial pericarditis due to in the absence of an esophago-pericardial fistula.
Oxf Med Case Reports
January 2025
Internal Medicine, Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243, United States.
Purulent bacterial pericarditis is a rare and progressive infection with a high mortality. It is rarely due to , a commensal bacteria found in the oral cavity, gastrointestinal tract, and the genitourinary tract. Here we present a 71-year-old man with history of esophageal adenocarcinoma, status post distal esophagectomy and proximal gastrectomy 2 years prior, who developed cardiac tamponade secondary to primary purulent bacterial pericarditis in the absence of an esophago-pericardial fistula.
View Article and Find Full Text PDFCardiac Tamponade Secondary to Esophagopericardial Fistula.
Tex Heart Inst J
December 2024
Department of Medicine, Baylor College of Medicine, Houston, Texas.
Article Synopsis
- Esophagopericardial fistulas are very rare and can develop from cancer or medical procedures.
- The article presents a case of a patient who experienced cardiac tamponade due to this fistula.
- It emphasizes the importance of timely diagnosis and collaboration among medical professionals to manage the high risks associated with this condition.
Endoscopic vacuum assisted closure therapy for esophagopericardial fistula in a 16-year-old male: A case report.
World J Gastrointest Endosc
September 2024
Department of Basic Sciences, University of Antioquia, Medellín 050010, Antioquia, Colombia.
Background: Esophagopericardial fistula (EPF) is a rare, life-threatening condition with limited scientific literature and no established management guidelines. This case report highlights a successful multidisciplinary approach and the innovative use of endoscopic vacuum assisted closure (endoVAC) therapy in treating this complex condition.
Case Summary: A 16-year-old male with a history of esophageal atresia and colon interposition presented with progressive chest pain, fever, and dyspnea.
EUS for the evaluation of esophageal injury after catheter ablation for atrial fibrillation.
Gastrointest Endosc
August 2024
Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Article Synopsis
- Atrial fibrillation (AF) ablation can lead to serious complications like esophageal injuries, which can create life-threatening fistulas; EUS (Endoscopic Ultrasound) is being explored as a better diagnostic tool than EGD (Esophagogastroduodenoscopy) for detecting these injuries.
- A study of 234 patients showed that EUS effectively identified various conditions post-ablation, including pleural effusions and esophageal wall changes, with a strong association between certain EUS findings and the severity of esophageal injury.
- The findings suggest that EUS is a safe and potentially superior method for evaluating post-ablation injuries in patients, with recommendations for prioritizing EUS over EGD in these
Hydropneumopericardium Due to a Traumatic Esophageal-Pericardial Fistula.
JACC Case Rep
June 2024
Division of Cardiology, Department of Medicine, University of Louisville, Louisville, Kentucky, USA.
Article Synopsis
- Esophago-pericardial fistula is a rare but serious condition often linked to benign esophageal issues or medical procedures.
- Early and accurate diagnosis is essential, with CT scans being the most effective imaging method.
- Treatment approaches depend on the severity of the condition, and there's an increasing preference for early endoscopic interventions that enhance patient outcomes.
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