Highlights a rare and usually fatal complication of oesophageal instrumentation (oesophago-pericardial fistula leading to cardiac tamponade) that was successfully managed with emergency surgery.
Alerts clinicians to rare post-swallow tamponade from oesophago-pericardial fistula; leaves open whether emergency surgery improves outcomes beyond this case.
A case of oesophago-pericardial fistula following oesophagoscopy and dilatation is reported. This is a rare and usually fatal complication of oesophageal instrumentation. This case is of further interest as cardiac tamponade following a Niopam swallow subsequently occurred, and the patient survived emergency surgery.
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Mellon et al. (1988) studied this question.
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