Pneumopericardium A Rare Yet Critical Complication of Antireflux Surgery

Introduction

Study Findings

The report discusses a 78-year-old patient who developed pneumopericardium ten years after undergoing redo antireflux surgery. The complication was diagnosed through clinical evaluation and confirmed by CT scan, revealing a fibrotic fistula between the Nissen valve and the pericardium. Despite initial conservative treatment, the patient required emergency surgery for pericardial drainage and fistula repair, ultimately leading to a successful recovery.

Key Takeaways:

  • Pneumopericardium as a rare complication of gastrointestinal surgery, specifically Nissen fundoplication.
  • Critical symptoms to monitor include chest pain, metallic tinkling friction rub, and mill wheel murmur.
  • Immediate surgical intervention is often necessary for favorable outcomes.

Integration of External Medical Sources

Further Reading and Resources

Call-to-Action (CTA) for Engagement

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