Pneumopyopericardium--a rare complication following surgical correction of an "upside-down stomach"
Peters, W.; Fegeler, W.; Gülker, H.; Heuer, H.
Zeitschrift für Kardiologie 77(2): 130-131
1988
ISSN/ISBN: 0300-5860 PMID: 3363988 Document Number: 309396
The follow-up period after surgery of an upside-down stomach in a 53-year-old patient was complicated by a pneumopyopericardium due to Candida albicans and Enterococcus. Therapy was performed by pericardial drainage. Local instillations of Mezlocillin (100 mg/l) and Amphotericin B (1 mg/l, Candida-MIC = 0.1 mg/l), over a period of 10 days and followed by a systemic antimycosis with 5-Flucytosin (0.14 g/d/kg over 5 days) and Amphotericin B (0.3 mg/d/kg over 11 days) led to recovery. Six months after discharge from the hospital, echocardiography revealed only a thickened pericardium without hemodynamic disorders.