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

F. Farjah, C. B. Komanapalli, Irving Shen, Mithran Sukumar

Research output: Contribution to journalArticle

14 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)365-367
Number of pages3
JournalThoracic and Cardiovascular Surgeon
Volume53
Issue number6
DOIs
StatePublished - Dec 2005

Fingerprint

Fundoplication
Sternotomy
Pericarditis
Candida
Fistula
Stomach
Pneumopericardium
X Ray Computed Tomography
Pericardium
Bronchoscopy
Amphotericin B
Barium
Deglutition
Diaphragm
Esophagus
Endoscopy
Thorax

Keywords

  • Complications of surgery
  • Fistula
  • Infection
  • Pericardium

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

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AU - Shen, Irving

AU - Sukumar, Mithran

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