Short communication, Note

Gastric Tube Ulcer Perforating the Pericardium after Subtotal Esophagectomy

Igor Nikolić ; University of Zagreb, University Hospital Dubrava, Department of Thoracic Surgery, Zagreb, Croatia
Dinko Stančić-Rokotov ; University of Zagreb, »Jordanovac« University Hospital for Lung Diseases, University Department of Thoracic Surgery, Zagreb,
Jasna Špiček Macan ; University of Zagreb, »Jordanovac« University Hospital for Lung Diseases, Department of Anesthesiology and Intensive Care,
Anđelko Korušić ; University of Zagreb, University Hospital Dubrava, Clinical Department of Anesthesiology, Reanimatology and Intensive Care
Verica Mikecin ; University of Zagreb, University Hospital Dubrava, Clinical Department of Anesthesiology, Reanimatology and Intensive Care
Viktor Đuzel ; University of Zagreb, University Hospital Dubrava, Clinical Department of Anesthesiology, Reanimatology and Intensive Care

Abstract

Subtotal esophagectomy with retrosternal transposition of the gastric tube to the neck was performed in a 62-year-old patient with squamous cell carcinoma of the proximal third of the esophagus. He developed a salivatory fistula in the early postoperative period that healed spontaneously. Five months later, the patient developed partial stenosis of the esophagogastric anastomosis which required recervicotomy and excision, after numerous failed dilatation attempts.
Eighteen months later, the patient presented to the hospital for severe pain in the upper abdomen. Clinical work-up revealed
pericardial perforation by the gastric tube ulcer necessitating emergent surgery and gastric tube removal.We present a patient who developed both early and late complications of subtotal esophagectomy with gastric tube transposition as well as a review of the literature.

Keywords

squamous cell carcinoma; esophagectomy; thoracic surgical procedures; ulcer; pericardium

Hrčak ID:

104750

URI

https://hrcak.srce.hr/104750

Publication date:

1.7.2013.

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