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. 1982 Sep;9(3):373–376.

Colo-Pericardial Fistula: Complication of Colonic Interposition

Lewis Wetstein 1, M Arison Ergin 1, Randall B Griepp 1
PMCID: PMC351650  PMID: 15226943

Abstract

This report discusses a unique and previously unreported complication of a colonic interposition following esophageal replacement. A 7-year-old boy under-went a right colonic interposition following extensive esophageal lye burn. Fifteen years post-colonic interposition, the 22-year-old man was admitted to an adult medical ward with chest pain, cardiomegaly, and fever. Barium swallow revealed a colo-pericardial fistula with massive pericarditis. The patient survived an immediate thoracotomy with the removal of the colon and a pericardiectomy. Several months later the patient underwent a successful left colonic interposition. This case illustrates that immediate and aggressive surgical therapy may prevent an otherwise fatal outcome.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Arbulu A., Bhagat F., Weaver A. Fistula between an interposed colon and the left ventricle. Arch Surg. 1971 Feb;102(2):146–147. doi: 10.1001/archsurg.1971.01350020056016. [DOI] [PubMed] [Google Scholar]
  2. FLETCHER A. G., Jr, GAIKWAD A. N. RECONSTRUCTION OF CERVICAL ESOPHAGUS BY SHORT COLON SEGMENT FOLLOWING LARYNGOESOPHAGECTOMY. Surgery. 1964 Oct;56:669–677. [PubMed] [Google Scholar]
  3. GOLIGHER J. C., ROBIN I. G. Use of left colon for reconstruction of pharynx and oesophagus after pharyngectomy. Br J Surg. 1954 Nov;42(173):283–290. doi: 10.1002/bjs.18004217313. [DOI] [PubMed] [Google Scholar]
  4. Gore D. Complications of esophageal by-pass. West Indian Med J. 1965 Dec;14(4):217–223. [PubMed] [Google Scholar]
  5. Holland R. H. Peptic ulceration and perforation of a left colon bypass for esophageal carcinoma. J Thorac Cardiovasc Surg. 1967 May;53(5):733–734. [PubMed] [Google Scholar]
  6. JIMENEZ-MARTINEZ M., McBURNEY R. P., PATTERSON R., ROBBINS S. G. Esophagoplasty by use of isolated segments of colon. Surg Gynecol Obstet. 1962 Jun;114:749–754. [PubMed] [Google Scholar]
  7. Jones E. L., Skinner D. B., Demeester T. R., Elkins R. C., Zuidema G. D. Response of the interposed human colonic segment to an acid challenge. Ann Surg. 1973 Jan;177(1):75–78. doi: 10.1097/00000658-197301000-00014. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. MAHONEY E. B., SHERMAN C. D., Jr Total esophagoplasty using intrathoracic right colon. Surgery. 1954 Jun;35(6):937–946. [PubMed] [Google Scholar]
  9. MANNING P. C., Jr, BEAHRS O. H., DEVINE K. D. PHARYNGOESOPHAGOPLASTY: INTERPOSITION OF RIGHT COLON. SURGICAL TREATMENT OF SIX CASES OF CANCER OF THE HYPOPHARYNX AND UPPER PART OF THE ESOPHAGUS. Arch Surg. 1964 Jun;88:939–946. doi: 10.1001/archsurg.1964.01310240035009. [DOI] [PubMed] [Google Scholar]
  10. MCDANIEL J. R., KNEPPER P. A. Esophagopericardial fistula; report of case and review of the literature. J Thorac Surg. 1957 Aug;34(2):173–176. [PubMed] [Google Scholar]
  11. MENGUY R. INTRATHORACIC PERFORATION OF THE COLON: AN UNUSUAL COMPLICATION OF COLONIC INTERPOSITION FOR ESOPHAGEAL STRICTURE. Am Surg. 1965 May;31:329–332. [PubMed] [Google Scholar]
  12. MONTENEGRO E. B., CUTAIT D. E. Construction of a new esophagus by means of the transverse colon and its application for caustic atresia, carcinoma, and varices of the esophagus; report of 26 cases. Surgery. 1958 Nov;44(5):785–794. [PubMed] [Google Scholar]
  13. MORONEY J. Colonic replacement of the stomach. Lancet. 1951 May 5;1(6662):993–996. doi: 10.1016/s0140-6736(51)92502-0. [DOI] [PubMed] [Google Scholar]
  14. Malcolm J. A. Occurrence of peptic ulcer in colon used for esophageal replacement. J Thorac Cardiovasc Surg. 1968 Jun;55(6):763–772. [PubMed] [Google Scholar]
  15. Murphy G. F., Raymond A. K., Scannell J. G. Esophageal-atrial perforation due to recurrent esophagitis 18 years after esophageal bypass surgery. J Thorac Cardiovasc Surg. 1979 Aug;78(2):181–184. [PubMed] [Google Scholar]
  16. NARDI G. L., GLOTZER D. J. Anastomotic ulcer of the colon following colonic replacement of the esophagus. Ann Surg. 1960 Jul;152:10–12. doi: 10.1097/00000658-196007000-00002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Orringer M. B., Sloan H. Esophagectomy without thoracotomy. J Thorac Cardiovasc Surg. 1978 Nov;76(5):643–654. [PubMed] [Google Scholar]
  18. Prolla J. C., Taebel D. W., Kirsner J. B. Perforation of an esophagogastric anastomotic ulcer into the left atrium. Case report and review of the literature. Gastroenterology. 1967 May;52(5):871–874. [PubMed] [Google Scholar]
  19. REYNOLDS J. T., GUYNN V. L., GROVE W. J., JAVID H. Experience with the use of the right colon to replace the esophagus. Am J Surg. 1961 Jan;101:39–43. doi: 10.1016/0002-9610(61)90649-3. [DOI] [PubMed] [Google Scholar]
  20. SCANLON E. F., STALEY C. J. Reconstruction of the cervical esophagus by use of colon transplants. Surg Clin North Am. 1963 Feb;43:3–10. doi: 10.1016/s0039-6109(16)36880-3. [DOI] [PubMed] [Google Scholar]
  21. SIRAK H. D., CLATWORTHY H. W., Jr, ELLIOTT D. W. An evaluation of jejunal and colic transplants in experimental esophagitis. Surgery. 1954 Sep;36(3):399–411. [PubMed] [Google Scholar]
  22. Villa N., Potter R. T., Kottmeier P. K. The secondary repair of the partially infarcted colonic interposition. J Thorac Cardiovasc Surg. 1969 Aug;58(2):186–188. [PubMed] [Google Scholar]
  23. WANGENSTEEN O. H. Surgical lesions of the esophagus, including discussions of esophagitis, "spontaneous" (acid-peptic) perforation of the esophagus, dystonia (cardiospasm) paraesophageal hernia, varices and cancer, together with remarks upon surgical management of peptic ulcer. Rev Gastroenterol. 1952 Jul;19(7):525–549. [PubMed] [Google Scholar]

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