ArticleEuropean heart journal. Case reports2026
From oesophageal cancer to constrictive pericarditis: oesophagopericardial fistula complicated by
Article in European heart journal. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Oesophagopericardial fistula is a rare but life-threatening condition that may lead to purulent pericarditis, which in turn carries a high risk of progression to constrictive pericardial disease. Case summary: A 50-year-old horse handler with advanced oesophageal carcinoma presented with acute chest pain, fever, and shock. Echocardiography showed a large pericardial effusion and pericardiocentesis yielded purulent fluid. Discussion: This case highlights a rare zoonotic cause of purulent pericarditis and its progression to constrictive physiology despite appropriate management. Take-home messages: Early recognition, multidisciplinary management, and follow-up imaging are essential in complex pericardial infections.
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