Pyothorax and Constrictive Pericarditis after Chemoradiotherapy for Esophageal Cancer
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- Ishibashi Yohei
- Department of Cardiovascular Medicine, Gunma University Graduate School of Medicine, Japan Department of Cardiology, National Hospital Organization Takasaki General Medical Center, Japan
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- Takama Noriaki
- Department of Cardiovascular Medicine, Gunma University Graduate School of Medicine, Japan
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- Ohtaki Yoichi
- Division of General Thoracic Surgery, Integrative Center of General Surgery, Gunma University Hospital, Japan
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- Koitabashi Norimichi
- Department of Cardiovascular Medicine, Gunma University Graduate School of Medicine, Japan
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- Kurabayashi Masahiko
- Department of Cardiovascular Medicine, Gunma University Graduate School of Medicine, Japan
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- Ishii Hideki
- Department of Cardiovascular Medicine, Gunma University Graduate School of Medicine, Japan
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説明
<p>A 75-year-old man underwent chemoradiotherapy for advanced esophageal cancer. After nine years, he was hospitalized for left pyothorax. Consequently, the patient underwent drainage and window opening surgery. He experienced cardiopulmonary arrest but was resuscitated. Based on cardiac catheterization data, the patient was diagnosed with constrictive pericarditis. Unfortunately, extracorporeal circulation did not improve his condition, and he ultimately died. An autopsy revealed adhesion between the pericardium and pleura, especially the pericardium in contact with the left thoracic cavity, which was markedly thickened. This suggests that constrictive pericarditis, a latent complication of chemoradiotherapy, is aggravated by pyothorax. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 63 (10), 1387-1393, 2024-05-15
一般社団法人 日本内科学会