Key result
Thoracoscopic pericardial drainage successfully treats acute pyogenic pericarditis from a penetrating gastric tube ulcer.
Why the study?
Peptic ulcer in the gastric conduit after esophageal reconstruction can penetrate mediastinal structures including the pericardium, requiring effective management strategies.
Case Report (n=1)
No
Thoracoscopic pericardial drainage is a useful and effective management strategy for acute pyogenic pericarditis caused by a penetrating gastric tube ulcer.
May support thoracoscopic drainage in this rare scenario; leaves open need for larger series before clinical adoption.
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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Watanabe et al. (2013) conducted a case report in Pericardial penetration of gastric tube ulcer (n=1). Thoracoscopic pericardial drainage was evaluated on Recovery. Thoracoscopic pericardial drainage successfully treated a 66-year-old man with acute pyogenic pericarditis caused by a gastric tube ulcer penetrating into the pericardial space.
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