Journal of Postgraduate Medicine
 Open access journal indexed with Index Medicus & EMBASE  
     Home | Subscribe | Feedback  

CASE REPORT
[View FULLTEXT] [Download PDF
 
Year : 2001  |  Volume : 47  |  Issue : 3  |  Page : 185-7  

Cardiomediastinal tamponade and shock following three-stage transthoracic oesophagectomy.

V Cherian, JV Divatia, A Kulkarni, D Dasgupta 
 Department of Anaesthesia, Critical Care and Pain, Tata Memorial Hospital, Parel, Mumbai - 400 012, India., India

Correspondence Address:
V Cherian
Department of Anaesthesia, Critical Care and Pain, Tata Memorial Hospital, Parel, Mumbai - 400 012, India.
India

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.


How to cite this article:
Cherian V, Divatia J V, Kulkarni A, Dasgupta D. Cardiomediastinal tamponade and shock following three-stage transthoracic oesophagectomy. J Postgrad Med 2001;47:185-7


How to cite this URL:
Cherian V, Divatia J V, Kulkarni A, Dasgupta D. Cardiomediastinal tamponade and shock following three-stage transthoracic oesophagectomy. J Postgrad Med [serial online] 2001 [cited 2019 Dec 9 ];47:185-7
Available from: http://www.jpgmonline.com/article.asp?issn=0022-3859;year=2001;volume=47;issue=3;spage=185;epage=7;aulast=Cherian;type=0


 
Monday, December 9, 2019
 Site Map | Home | Contact Us | Feedback | Copyright  and disclaimer