Thoracoscopic pericardial drainage for gastric tube ulcer penetrated into the pericardium.

Masayuki Watanabe, Koki Matsuura, Hideo Baba, Tomoharu Yoshizumi, Toru Ikegami, Yuji Soejima, Tetsuo Ikeda, Hirofumi Kawanaka, Hideaki Uchiyama, Yo ichi Yamashita, Masaru Morita, Eiji Oki, Koshi Mimori, Keishi Sugimachi, Hiroshi Saeki, Yoshihiko Maehara

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3 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)389-393
Number of pages5
JournalUnknown Journal
Volume104
Issue number10
Publication statusPublished - Oct 2013

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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    Watanabe, M., Matsuura, K., Baba, H., Yoshizumi, T., Ikegami, T., Soejima, Y., Ikeda, T., Kawanaka, H., Uchiyama, H., Yamashita, Y. I., Morita, M., Oki, E., Mimori, K., Sugimachi, K., Saeki, H., & Maehara, Y. (2013). Thoracoscopic pericardial drainage for gastric tube ulcer penetrated into the pericardium. Unknown Journal, 104(10), 389-393.