Open AccessGastropericardial fistula after failure of laparoscopic hiatal repair
Author(s) -
SuGandarilla J.,
Guillem P.,
Herjean M.,
Triboulet J. P.
Publication year - 2000
Publication title -
diseases of the esophagus
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.115
H-Index - 63
eISSN - 1442-2050
pISSN - 1120-8694
DOI - 10.1111/j.1442-2050.2000.00127.x
Subject(s) - medicine , pneumopericardium , hiatal hernia , fistula , surgery , laparotomy , pericardium , thorax (insect anatomy) , chest tube , radiology , reflux , complication , pneumothorax , disease , anatomy , pathology
We describe a 77‐year‐old patient with gastropericardial fistula occurring 5 years after laparoscopic surgery for hiatal hernia and gastroesophageal reflux. The patient presented with isolated intermittent substernal pain without fever. Chest radiographs disclosed extensive pneumopericardium and thoracic computed tomography suggested gastropericardial fistula between the pericardium and the surgical wrap, slipped into the thorax. Emergency surgery allowed successful repair through laparotomy via the trans‐hiatal approach.