Pneumopericardium Caused by Perforation of Gastric Tube after Esophageal Reconstruction: Case Report

食道重建術後胃管破裂導致心包積氣：病例報告

黃馨慧(Hsin-Hui Huang) ； 陳詩華(Si-Wa Chan) ； 田雨生(Yeu-Sheng Tyan)

《中華放射線醫學雜誌》 31卷4期 (2006/08) Pp. 183-188

摘要

一位73歲男性病人突發性出現胸痛及呼吸急促之症狀。患者曾在5年前因為嚴重的胃食道逆流合併食道下端阻塞接受過食道重建手術。影像檢查中胸部X光以及電腦斷層攝影均顯示有氣體堆積於心包膜腔內，而懷疑有腸胃道破裂導致心包積氣的可能。手術時證實確有胃管及心包膜管之形成。經緊急切除重建之食道以及置放引流管，病人於術後3週平安出院。

關鍵字

食道重建 ； 胃管 ； 破裂 ； 心包積氣

並列摘要

A 73-year-old man presented with chest pain and shortness of breath. He received esophageal reconstruction with gastric tube via retrosternal route five years ago due to gastroesophageal reflux disease (GERD) and severe esophageal stricture. At emergency department, the chest radiography and computed tomography (CT) disclosed abnormal air and fluid collection in the pericardial cavity. Under the impression of hollow organ perforation into the pericardial cavity, the patient received emergent pericardiectomy to relieve the cardiac tamponade. Surgery revealed a fistula between the pericardial cavity and the reconstructed gastric tube. Total gastrectomy, feeding duodenostomy and pericardial drainage were performed in the operation. After surgical intervention, the patient recovered uneventfully and was discharged 3 weeks later.

並列關鍵字

Esophageal reconstruction ； Gastric tube ； Perforation ； Pneumopericardium