• 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)
Brown DL, Luchi RJ. Cardiac Tamponade and Constrictive Pericarditis Complicating Endoscopic Sclerotherapy. Arch Intern Med. 1987;147(12):2169-2170. doi:10.1001/archinte.1987.00370120105018