Gastropericardial fistula, purulent pericarditis, and cardiac tamponade after laparoscopic Nissen fundoplication

Ann Thorac Surg. 2006 Jan;81(1):356-8. doi: 10.1016/j.athoracsur.2004.08.048.

Abstract

Gastropericardial fistula, purulent pericarditis, and cardiac tamponade developed 7 years after laparoscopic Nissen fundoplication. The patient was successfully managed through a thoracotomy by open drainage of the pericardium, excision and closure of the fistula, and an omentum flap.

Publication types

  • Case Reports

MeSH terms

  • Cardiac Tamponade / etiology*
  • Chest Pain / etiology
  • Fistula / etiology*
  • Fundoplication*
  • Gastric Fistula / etiology*
  • Gastroesophageal Reflux / surgery
  • Heart Diseases / etiology*
  • Hernia, Hiatal / complications
  • Hernia, Hiatal / surgery
  • Humans
  • Laparoscopy*
  • Male
  • Middle Aged
  • Omentum / surgery
  • Pericarditis / etiology*
  • Pericarditis / microbiology
  • Pericardium
  • Postoperative Complications / etiology*
  • Stomach Ulcer / complications
  • Streptococcal Infections / complications
  • Surgical Flaps
  • Time Factors
  • Viridans Streptococci