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Life threatening polyserositis post oesophagectomy.

Seema Alaee1, Paul W X Foley1, Andrew E Stanton1

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A rare case of polyserositis, inflammation of multiple body cavities, occurred after esophageal cancer surgery. This serious complication resolved with medication, highlighting a potential link to chemotherapy and surgery.

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Area of Science:

  • Oncology
  • Cardiology
  • Pulmonology

Background:

  • Esophageal carcinoma treatment often involves surgery, chemotherapy, and radiation.
  • Post-operative complications can significantly impact patient recovery and outcomes.

Observation:

  • A 46-year-old female presented with breathlessness and large pleural effusions post-esophagectomy.
  • Imaging revealed bilateral pleural effusions, pericardial effusion, ascites, and lymphadenopathy.

Findings:

  • Despite fluid drainage, the patient's condition worsened, requiring intensive care.
  • Polyserositis resolved over 5 weeks with colchicine and prednisolone treatment.

Implications:

  • This case describes polyserositis following non-cardiac surgery, a complication not previously reported.
  • The event may be associated with induction chemotherapy combined with thoracotomy.
  • Further investigation is warranted to understand this association and optimize patient management.