Postpericardiotomy syndrome is not uncommon following cardiac surgery.
The syndrome is characterized by fever, chest pain, leucocytosis, and
signs of pericardial and pleural effusions. A patient with similar sy
mptoms after laparoscopic treatment of reflux esophagitis is reported.
Antibiotic treatment had no effect on a suspected bacteriological inf
ection. There was a dramatic clinical response to corticosteroid treat
ment. The etiology and pathogenesis of the syndrome are discussed.