Abstract
BackgroundBoth diaphragmatic hernia and thoracic gastropericardial fistula rarely occur simultaneously in patients with radical esophagectomy.Case presentationA 72-year-old man presented to our hospital with 1 day of nausea, vomiting and acute left chest pain. He had radical esophagectomy (Sweet approach) for esophageal cancer 18 years ago. Computed tomography (CT) of the chest revealed diaphragmatic hernias and air collection within the pericardial space. While an operation of diaphragmatic hernia repair was decisively performed to prevent further serious complications, unusually, a thoracic gastropericardial fistula was also found unusually.ConclusionDiaphragmatic hernia and thoracic gastropericardial fistula may occasionally coexist in patients with esophagectomy. Upper GI radiograph with a water-soluble contrast agent is a better diagnostic tool than CT in visualizing the fistula.
Highlights
Both diaphragmatic hernia and thoracic gastropericardial fistula rarely occur simultaneously in patients with radical esophagectomy.Case presentation: A 72-year-old man presented to our hospital with 1 day of nausea, vomiting and acute left chest pain
Diaphragmatic hernia and thoracic gastropericardial fistula may occasionally coexist in patients with esophagectomy
Anastomotic leakage and conduit ischemia are mostly present in the early postoperative period of patients with esophagectomy
Summary
Diaphragmatic hernia and thoracic gastropericardial fistula may occasionally coexist in patients with esophagectomy.
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