Gastric tube ulcer perforating the pericardium after subtotal esophagectomy [Perforacija ulkusa želučanog supstituta u perikard nakon subtotalne ezofagektomije]

Nikolić, Igor and Stančić-Rokotov, Dinko and Špiček Macan, Jasna and Korušić, Anđelko and Mikecin, Verica and Đuzel, Viktor (2013) Gastric tube ulcer perforating the pericardium after subtotal esophagectomy [Perforacija ulkusa želučanog supstituta u perikard nakon subtotalne ezofagektomije]. Collegium Antropologicum, 37 (2). pp. 615-618. ISSN 0350-6134

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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.

Abstract in Croatian

Prikazan je slučaj 62 godišnjeg muškarca kod kojega je zbog karcinoma proksimalne trećine jednjaka učinjena subtotalna ezofagektomija. Godinu i pol dana nakon operacije javila se nagla bol u epigastriju koja je nastala kao posljedica perforacije ulkusa želučanog supstituta u perikard.

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