Gastropericardial fistula-induced pyopneumopericardium after esophagectomy with esophagogastrectomy

Won Jung Kim, Eun Jeong Choi, Yu Whan Oh, Kwang Taik Kim, Chul Whan Kim

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)


Gastropericardial fistula is an acquired disorder presenting as an abnormal communication between the stomach and the pericardium, with a rare incidence and extremely high mortality rate. We recently experienced a case of life-threatening gastropericardial fistula occurring as an unusual complication after an esophagectomy with an esophagogastrostomy for esophageal cancer treatment. A 68-year-old man with a history of esophagectomy and esophagogastrostomy using the gastric pedicle for the esophageal cancer 13 years ago, visited the hospital with a complaint of dyspnea for 3 days. Chest roentgenogram, computed tomographic scan, and endoscopy showed a pneumopericardium and huge ulcer with central perforation in the posterior wall of the gastric pedicle.

Original languageEnglish
Pages (from-to)e10-e11
JournalAnnals of Thoracic Surgery
Issue number1
Publication statusPublished - 2011 Jan
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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