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Colopericardial Fistula following Colonic Interposition: Can Primary Repair be Safely Performed?

Colopericardial fistula is a rare long-term complication of colonic interposition. Without prompt surgical treatment, this disease entity is ultimately fatal. We present a case of a 24-year-old male who underwent colonic interposition for long gap esophageal atresia two decades prior to presentation, successfully treated with division of the fistula tract, primary repair of the colonic defect and a pericardial window.