Affiliation:
1. Royal Prince Alfred Hospital Department of Upper GI Surgery, , Camperdown NSW, Australia
Abstract
Abstract
We report the case of a healthy 35-year-old male with two rare pathologies: pneumopericardium and oesophago-pericardial fistula (OPF) secondary to tuberculosis. Purulent pericarditis and cardiac tamponade are known complications with potential for significant morbidity and mortality. Unfortunately, the symptoms of OPF are non-specific often delaying diagnosis. There is no gold standard for treatment or determinant of when nonsurgical versus surgical approach should be considered. Anti-tuberculous therapy alone is often adequate however an oesophageal stent was utilized in this case to rapidly gain control of the fistula and prevent ongoing contamination from mediastinitis.
Publisher
Oxford University Press (OUP)
Reference11 articles.
1. Immigrant arrival and tuberculosis among large immigrant- and refugee-receiving countries, 2005-2009;White;Tuberc Res Treat,2017
2. Tuberculosis in migrants to Australia: outcomes of a national screening program;Trauer;Lancet Reg Health West Pac,2021
3. Pyopneumopericardium due to esophago-pericardial fistula in patient with tuberculous pericarditis;Al-Ajmi;Saudi Med J,2007
4. Esophagopericardial fistula: causes and radiographic features;Cyrlak;AJR Am J Roentgenol,1983
5. Tuberculous pericarditis;Jurado;Biomedica,2020