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Hydropneumopericardium: A Rare Complication of an Oesophageal Tumour
Joana Rodrigues Morais1, Rui Môço1
1Internal Medicine Department, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Senhora da Hora, Portugal.
Abstract:
Hydropneumopericardium is a rare event with a risk of serious complications. Timely diagnosis and treatment is important as it can improve prognosis. We report the case of a 77-year-old male patient who presented with acute interscapular pain which developed during a meal. An oesophago-pericardial fistula was found in the context of malignant oesophageal disease.
Learning Points:
Hydropneumopericardium secondary to oesophageal tumour is a rare but life-threatening finding that has a very poor prognosis.A high level of suspicion is needed, as the clinical manifestations are very unspecific and timely treatment can improve prognosis.Successful management of an oesophago-pericardial fistula includes surgical treatment and antibiotic therapy.
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