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首页> 外文期刊>Esophagus >Management of purulent pericarditis and esophagopericardial fistula secondary to metastatic colon adenocarcinoma
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Management of purulent pericarditis and esophagopericardial fistula secondary to metastatic colon adenocarcinoma

机译：转移性结肠腺癌继发化脓性心包炎和食管心包瘘

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摘要

Purulent pericarditis with esophagopericardial fistula secondary to metastatic colon disease is uncommon. Current reports in the literature describe successful palliation via endoluminal esophageal stent insertion. We present our management strategy for a difficult case in which (complete) esophageal occlusion by tumor burden precluded endoscopic passage of the guide wire required to successfully perform such a procedure. Simple tube pericardios-tomy is presented as an alternative procedure that produced a satisfactory outcome. This surgical procedure is an appropriate palliative alternative when an endoscopic procedure is not feasible, and is much less invasive than the surgical palliative procedures reported in the literature.
机译：继发于转移性结肠疾病的化脓性心包炎伴食管心包瘘并不常见。文献中的当前报道描述了通过腔内食管支架插入成功缓解疼痛。我们提出了一种困难情况的管理策略，在这种情况下，由于肿瘤负荷而导致的（完全）食道闭塞妨碍了成功进行此类手术所需的导丝的内窥镜检查。简单的心包切开术是产生令人满意结果的替代方法。当内窥镜手术不可行时，该手术程序是适当的姑息治疗替代方法，并且比文献报道的手术姑息手术的侵入性小。

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