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BioMed Central, Cases Journal, 1(1), 2008

DOI: 10.1186/1757-1626-1-419

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Cardiac tamponade, an unusual and fatal complication of esophagus dilatation for benign stenosis: a case report

Journal article published in 2008 by Wendela L. Greven, Nicole Kooij, Herman M. Peters, Joost Kardux, Peter E. Spronk
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Abstract Introduction We present a patient with a fatal late esophago-pericardial fistula three months after dilatation for benign oesophagus stenosis Case presentation A 71-year-old caucasian male with a known benign esophagus stenosis was referred to the ICU. On arrival an asystole developed which proved to be due to a large pericardial effusion. Pericardial fluids were drained, but the patients' condition worsened and he died due to multiple organ failure. Postmortum investigation revealed an esophago-pericardial fistula. Conclusion Causes of an acute tamponade should also be sought in semirecent events, such as manipulation to the oesophagus months before the acute critical illness.