Gastropericardial fistula and Candida kruzei pericarditis following laparoscopic nissen fundoplication (gastropericardial fistula)

F. Farjah; C. B. Komanapalli; I. Shen; M. S. Sukumar

doi:10.1055/s-2005-837705

Gastropericardial fistula and Candida kruzei pericarditis following laparoscopic nissen fundoplication (gastropericardial fistula)

F. Farjah, C. B. Komanapalli, I. Shen, M. S. Sukumar

Surgery

Research output: Contribution to journal › Article › peer-review

19 Scopus citations

Abstract

We report a case of gastropericardial fistula and Candida kruzei pericarditis one year after laparoscopic Nissen fundoplication. Chest X-ray and CT revealed pneumopericardium. Barium swallow, UGI, endoscopy, and bronchoscopy were negative. Pericardial exploration was performed through a sternotomy. Intraoperative fistulogram revealed a tract into the stomach. A midline abdominal incision allowed identification of the slipped Nissen, resection of the fistula tract, and subsequent re-do fundoplication. The patient was treated with amphotericin and remains symptom-free 10 months after her operation. We recommend both sternotomy and midline abdominal incisions to explore and access the pericardium, stomach, esophagus, and diaphragm.

Original language	English (US)
Pages (from-to)	365-367
Number of pages	3
Journal	Thoracic and Cardiovascular Surgeon
Volume	53
Issue number	6
DOIs	https://doi.org/10.1055/s-2005-837705
State	Published - Dec 2005

Keywords

Complications of surgery
Fistula
Infection
Pericardium

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1055/s-2005-837705

Cite this

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title = "Gastropericardial fistula and Candida kruzei pericarditis following laparoscopic nissen fundoplication (gastropericardial fistula)",

abstract = "We report a case of gastropericardial fistula and Candida kruzei pericarditis one year after laparoscopic Nissen fundoplication. Chest X-ray and CT revealed pneumopericardium. Barium swallow, UGI, endoscopy, and bronchoscopy were negative. Pericardial exploration was performed through a sternotomy. Intraoperative fistulogram revealed a tract into the stomach. A midline abdominal incision allowed identification of the slipped Nissen, resection of the fistula tract, and subsequent re-do fundoplication. The patient was treated with amphotericin and remains symptom-free 10 months after her operation. We recommend both sternotomy and midline abdominal incisions to explore and access the pericardium, stomach, esophagus, and diaphragm.",

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AU - Komanapalli, C. B.

AU - Shen, I.

AU - Sukumar, M. S.

PY - 2005/12

Y1 - 2005/12

N2 - We report a case of gastropericardial fistula and Candida kruzei pericarditis one year after laparoscopic Nissen fundoplication. Chest X-ray and CT revealed pneumopericardium. Barium swallow, UGI, endoscopy, and bronchoscopy were negative. Pericardial exploration was performed through a sternotomy. Intraoperative fistulogram revealed a tract into the stomach. A midline abdominal incision allowed identification of the slipped Nissen, resection of the fistula tract, and subsequent re-do fundoplication. The patient was treated with amphotericin and remains symptom-free 10 months after her operation. We recommend both sternotomy and midline abdominal incisions to explore and access the pericardium, stomach, esophagus, and diaphragm.

AB - We report a case of gastropericardial fistula and Candida kruzei pericarditis one year after laparoscopic Nissen fundoplication. Chest X-ray and CT revealed pneumopericardium. Barium swallow, UGI, endoscopy, and bronchoscopy were negative. Pericardial exploration was performed through a sternotomy. Intraoperative fistulogram revealed a tract into the stomach. A midline abdominal incision allowed identification of the slipped Nissen, resection of the fistula tract, and subsequent re-do fundoplication. The patient was treated with amphotericin and remains symptom-free 10 months after her operation. We recommend both sternotomy and midline abdominal incisions to explore and access the pericardium, stomach, esophagus, and diaphragm.

KW - Complications of surgery

KW - Fistula

KW - Infection

KW - Pericardium

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Gastropericardial fistula and Candida kruzei pericarditis following laparoscopic nissen fundoplication (gastropericardial fistula)

Abstract

Keywords

ASJC Scopus subject areas

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