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与心包相通的瘘是一种罕见的致命并发症.食道心包瘘最常见,但来自胃、十二指肠、结肠、肝、空肠、胸膜和表皮组织的心包瘘已有报告.这里报告1例在肝胆常规显像期间偶然发现心包瘘.患者男性48岁,16个月前因食道下段腺癌做了部分切除和吻合术.入院后,CT显示在远端假体(Stent’内假体)周围有另外的软组织密度影,提示肿瘤复发.上消化道钡餐透视见Stent假体通畅,钡剂最后可进入十二指肠,并见钡剂间歇性地从十二指肠反流到胃和食道.为了评价输入攀综合征和小肠远端的通畅性,静脉注射148MBq(4mCi)
Interventions with the pericardium are a rare, fatal complication. Esophageal pericardial fistula is the most common, but pericardial fistulas from the stomach, duodenum, colon, liver, jejunum, pleura, and epidermis have been reported. One case is reported here. Pericardium was found by chance during routine hepatobiliary imaging. The patient was 48 years old. Partial excision and anastomosis were performed 16 months ago due to adenocarcinoma of the lower esophagus. After admission, CT showed distal prosthesis (Stent’ endoprosthesis). There is another soft tissue density around, suggesting a tumor recurrence. Upper gastrointestinal barium meal see Stent prosthesis patency, tinctures can finally enter the duodenum, and see barium intermittently from the duodenum reflux to the stomach and The esophagus. In order to evaluate the patency of the input climbing syndrome and distal small bowel, intravenous injection of 148MBq (4mCi)