Gastropericardial Fistula as an Early Complication After Surgery for Combined Paraesophageal and Hiatal Hernia

Abstract

Open surgery is still used to treat massive combined paraesophageal and hiatal hernias. The operative principles include repositioning of the stomach in the abdomen, resection of the hernia sac, narrowing of the hiatus, and gastropexy [[6]]. We report on a case in which a life-threatening, gastropericardial fistula was an early complication after open surgical treatment.

Key words

Gastropericardial fistula - paraesophageal hernia - hiatal hernia - gastropexy

References

• 1 West A B, Nolan N, O'Briain D S. Benign peptic ulcers penetrating pericardium and heart: clinical pathological features and factors favoring survival.  Gastroenterology. 1988;  94 1478-1487
• 2 Letoquart J P, Fasquel J L, L'Huillier J P. et al . Les fistules gastro-péricardiques: revue de la littérature à propos d'un cas original.  J Chir (Paris). 1990;  127 6-12
• 3 Cozart J C, Sundaresan S, Chokshi H R, Aliperti G, Walden D T. Gastropericardial fistula with pneumopericardium: an unusual complication of benign peptic ulceration.  Gastrointest Endosc. 1999;  49 387-390
• 4 Avis S P. Esophagopericardial fistula: an unusual cause of sudden unexpected death.  Am J Forensic Med Pathol. 1996;  17 83-85
• 5 Murthy S, Looney J, Jaklitsch M T. Gastropericardial fistula after laparoscopic surgery for reflux disease.  N Engl J Med. 2002;  346 328-332
• 6 Oelschlager B K, Pellegrini C A. Paraesophageal hernias: open, laparoscopic, or thoracic repair?.  Chest Surg Clin N Am. 2001;  11 589-603