Korean Journal of Gastrointestinal Endoscopy 1985;5(1): 53-55.
식도심막누관 1예 ( A Case of Esophagopericardial Fistula )
양건호, 김성렬, 범희승, 김석빈, 박일종, 박광숙, 윤종만 (Kun Ho Yang, Seong Rhyul Kim, Hee Seung Bom, Suk Bin Kim, Eel Jong Park, Kwang Suk Park and Chong Mann Yoon)
Abstract
Esophagopericardial fistala is a rare and usually life threatening complication of both benign and malignant esophageal disease. A case of pyopneumopericarduim in 45 year-old female is reported. Streptocoeeus viridana in pas celtore was isolated from pericardial pus. The disorder resulted from eaqyhagoyericardial fistula which probably developed as a complication of esophageal diverticnlum. The diagnasis of the fistula was established preoperatively on the basis of chest X-ray, esophagogram and. endoeeopic findings. The treatment was thoracotorny with drainage of pericardium, diverticulectomy and antimicrobial chemotherapy. The patieat improved postoperatively.