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David L. Brown, MD; Robert J. Luchi, MD

Arch Intern Med. 1987;147(12):2169-2170.

Abstract
• We report a case of suspected esophageal perforation with injection of a sclerosing agent into the pericardium during endoscopic sclerotherapy of esophageal varices. Immediately after the procedure, the patient developed fever and a pericardial friction rub. Eight months later, he presented with cardiac tamponade and constrictive pericarditis. This complication should be considered whenever a patient presents with inadequate cardiac output, venous congestion, and a pulsus paradoxus following sclerotherapy.

(Arch Intern Med 1987;147:2169-2170)

Author Affiliations
From the Medical Service, Veterans Administration Medical Center, and the Department of Medicine, Baylor College of Medicine, Houston. Dr Brown is now with The Gladstone Foundation Laboratories for Cardiovascular Disease, University of California, San Francisco.

Footnotes
Accepted for publication Aug 31, 1987.

Reprints not available.

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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Cardiac Tamponade and Constrictive Pericarditis Complicating Endoscopic Sclerotherapy
Luchi
Arch Intern Med 1988;148:750-750.
ABSTRACT