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Intensive Care Medicine
Published in: Intensive Care Medicine 3/2010

01-03-2010 | Correspondence

Delayed colopericardial fistula and pyopneumopericardium

Authors: François Jouret, Diego Castanares-Zapatero, Pierre-François Laterre

Published in: Intensive Care Medicine | Issue 3/2010

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Excerpt

Sir: A 54-year-old patient was referred for epigastric pain and dyspnoea of 1-week duration. Physical examination evidenced cyanosis and tachypnea, as well as hypotension and tachycardia with a pulsus paradoxus. The patient was obese, with body mass index above 35 kg/m2. Heteroanamnesis revealed that she had been involved 10 months earlier in a motor vehicle accident (MVA), with left pneumo- and hemothorax which required selective embolization of the ipsilateral sixth intercostal artery. However, no specific complaint or symptom had been expressed after discharge. …
Literature
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Singh D, Cercek B, Fuller C, Siegel R (2009) Intestinopericardial fistula presenting as cardiac tamponade. Am J Cardiol 103:1178–1179CrossRefPubMed
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Parmar JM, Probert C, Clarke DB, Temple JG (1989) Colo-pericardial and colo-caval fistula. Late complication of colon interposition. Eur J Cardiothorac Surg 3:371–372CrossRefPubMed
3.
Miller WL, Osborn MJ, Sinak LJ, Westbrook BM (1991) Pyopneumopericardium attributed to an esophagopericardial fistula: report of a survivor and review of the literature. Mayo Clin Proc 66:1041–1045PubMed
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Sakr Y, Madl C, Filipescu D, Moreno R, Groeneveld J, Artigas A, Reinhart K, Vincent JL (2008) Obesity is associated with increased morbidity but not mortality in critically ill patients. Intensive Care Med 34:1999–2009CrossRefPubMed
Metadata
Title
Delayed colopericardial fistula and pyopneumopericardium
Authors
François Jouret
Diego Castanares-Zapatero
Pierre-François Laterre
Publication date
01-03-2010
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 3/2010
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-009-1701-3

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