Cardiomediastinal tamponade and shock following three-stage transthoracic oesophagectomy.

Journal of Postgraduate Medicine

关键词: Blood Pressure;    Carcinoma;    Squamous Cell;    surgery;    Cardiac Tamponade;    diagnosis;    etiology;    Case Report;    Diagnosis;    Differential;    Esophageal Neoplasms;    surgery;    Esophagectomy;    Female;    Human;    Hypotension;    etiology;    Middle Age;    Postoperative Complications;    Suction;   

DOI  :  

来源: DOAJ

【 摘 要 】

Massive gastric tube dilatation causing cardiomediastinal tamponade is an unusual cause of obstructive shock after transthoracic oesophagectomy. A 55-year-old female was operated for total transthoracic oesophagectomy. Twelve hours after the surgery, she developed hypotension and raised central venous pressure unresponsive to fluid infusion and ionotropes. X-ray chest showed a massively dilated stomach, which was causing intrathoracic tamponade. Suction applied to the nasogastric tube led to aspiration of 150-200 ml of fluid and a large volume of air, which led to resolution of the haemodynamic instability. A simple manoeuvre like nasogastric suction in postoperative case of oesophagectomy can serve as a diagnostic as well as therapeutic tool. It must be performed before resorting to invasive and expensive examination or intervention.

【 授权许可】

Unknown