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Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

56
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
56
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

90
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
90
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

86
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
86
Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

141
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
141
Barrett Esophagus-I: Introduction01:21

Barrett Esophagus-I: Introduction

86
Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
86
Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

111
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
111
  1. Home
  3. Research Domains
  5. Biomedical And Clinical Sciences
  7. Oncology And Carcinogenesis
  9. Predictive And Prognostic Markers
  11. Purulent Pericarditis As The First Manifestation Of Esophageal Carcinoma.
  1. Home
  3. Research Domains
  5. Biomedical And Clinical Sciences
  7. Oncology And Carcinogenesis
  9. Predictive And Prognostic Markers
  11. Purulent Pericarditis As The First Manifestation Of Esophageal Carcinoma.

Related Experiment Video

Development of Compendium for Esophageal Squamous Cell Carcinoma
03:36

Development of Compendium for Esophageal Squamous Cell Carcinoma

Published on: April 12, 2024

405

Purulent Pericarditis as the First Manifestation of Esophageal Carcinoma.

Carolina María Peixoto Vieira Viseu Ferreira1, Souhayla Souaf2, Amparo Martínez Monzonís3

  • 1Department of Surgery and Medico-Surgical Specialities. University of Santiago de Compostela, Spain.

Portuguese Journal of Cardiac Thoracic and Vascular Surgery
|May 14, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Esophago-pericardial fistula, a rare cause of purulent pericarditis, can be the initial sign of advanced esophageal cancer. This case highlights sepsis and cardiac tamponade as presenting symptoms, emphasizing prompt diagnosis and intervention.

Keywords:
esophageal carcinomaesophagopericardial fistulapurulent pericarditis

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Development of Compendium for Esophageal Squamous Cell Carcinoma
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Published on: April 12, 2024

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Area of Science:

  • Gastroenterology and Cardiology
  • Oncology

Background:

  • Purulent pericarditis is a known complication of esophageal cancer treatment.
  • Esophago-pericardial fistula presenting as the initial manifestation of esophageal cancer is rare.

Observation:

  • A 61-year-old male presented with sepsis, cardiac tamponade, and septic shock.
  • Diagnosis revealed an esophago-pericardial fistula secondary to squamous cell carcinoma of the esophagus.
  • Pericardial fluid was purulent with Streptococcus anginosus; CT and endoscopy confirmed esophageal cancer.

Findings:

  • Emergency pericardiocentesis improved hemodynamics.
  • Endoscopic placement of a covered stent excluded the fistula and restored esophageal patency.

Implications:

  • This case underscores the importance of considering esophago-pericardial fistula in patients with unexplained sepsis and cardiac tamponade.
  • Early diagnosis and multidisciplinary management are crucial for improving outcomes in this rare but severe condition.