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December 1987

Cardiac Tamponade and Constrictive Pericarditis Complicating Endoscopic Sclerotherapy

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.

Arch Intern Med. 1987;147(12):2169-2170. doi:10.1001/archinte.1987.00370120105018

• 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)