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
  • Takama Noriaki
    Department of Cardiovascular Medicine, Gunma University Graduate School of Medicine, Japan
  • Ohtaki Yoichi
    Division of General Thoracic Surgery, Integrative Center of General Surgery, Gunma University Hospital, Japan
  • Koitabashi Norimichi
    Department of Cardiovascular Medicine, Gunma University Graduate School of Medicine, Japan
  • Kurabayashi Masahiko
    Department of Cardiovascular Medicine, Gunma University Graduate School of Medicine, Japan
  • Ishii Hideki
    Department of Cardiovascular Medicine, Gunma University Graduate School of Medicine, Japan

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<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>

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  • Internal Medicine

    Internal Medicine 63 (10), 1387-1393, 2024-05-15

    The Japanese Society of Internal Medicine

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