We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Gastropericardial fistula as a late complication of Roux-en-Y procedure.
- Authors
Bing, Eric M; Skogsburg, Amanda; Hayes, Douglas
- Abstract
Pneumopericardium secondary to gastro-pericardial fistula is a rare complication associated with various surgical procedures and conditions, notably Roux-en-Y gastric bypass. This condition poses a risk of cardiac tamponade and can be fatal if not promptly diagnosed and managed. We present a case of a 62-year-old female with a history of gastric bypass who presented with nonspecific symptoms and was eventually diagnosed with pneumopericardium secondary to gastro-pericardial fistula. Despite efforts for timely intervention, including transfer to a facility with cardiothoracic surgery availability, the patient's unstable condition precluded surgical intervention, leading to her eventual demise. A literature review reveals that the average time from Roux-en-Y gastric bypass surgery to presentation is nine years. The elusive nature of the presentation underscores the importance of a comprehensive clinical history in identifying this condition early. Awareness of gastro-pericardial fistula as a potential late complication of gastric bypass is crucial for timely diagnosis and intervention to improve patient outcomes.
- Subjects
SURGICAL anastomosis; GASTRIC bypass; LITERATURE reviews; GASTRIC fistula; OPERATIVE surgery
- Publication
Journal of Surgical Case Reports, 2024, Vol 2024, Issue 8, p1
- ISSN
2042-8812
- Publication type
Case Study
- DOI
10.1093/jscr/rjae491