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Gastropericardial Fistula as a Complication in a Refractory Gastric Ulcer after Esophagogastrostomy with Gastric Pull-Up
A gastropericardial fistula, defined as penetration of a gastric lesion into the pericardium, is a rare occurrence. Such a fistula is usually associated with a huge ulcer in the gastric fundus, an ulcer within a hiatus hernia, a history of esophagogastric surgery, the concurrent use of non-steroidal...
Autores principales: | , , , |
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Formato: | Texto |
Lenguaje: | English |
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Yonsei University College of Medicine
2010
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2824874/ https://www.ncbi.nlm.nih.gov/pubmed/20191021 http://dx.doi.org/10.3349/ymj.2010.51.2.270 |
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author | Park, Semi Kim, Jie-Hyun Lee, Yong Chan Chung, Jae Bock |
author_facet | Park, Semi Kim, Jie-Hyun Lee, Yong Chan Chung, Jae Bock |
author_sort | Park, Semi |
collection | PubMed |
description | A gastropericardial fistula, defined as penetration of a gastric lesion into the pericardium, is a rare occurrence. Such a fistula is usually associated with a huge ulcer in the gastric fundus, an ulcer within a hiatus hernia, a history of esophagogastric surgery, the concurrent use of non-steroidal anti-inflammatory drugs (NSAIDs), or Zollinger-Ellison syndrome. The patient in this case presented with shoulder pain and melena, caused by a gastropericardial fistula that had occurred as a late complication of postoperative esophagogastrostomy and a refractory gastric ulcer. Despite the severity of the condition, the patient showed great improvement after medical treatment and the fistula was cured at the end. |
format | Text |
id | pubmed-2824874 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Yonsei University College of Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-28248742010-03-01 Gastropericardial Fistula as a Complication in a Refractory Gastric Ulcer after Esophagogastrostomy with Gastric Pull-Up Park, Semi Kim, Jie-Hyun Lee, Yong Chan Chung, Jae Bock Yonsei Med J Case Report A gastropericardial fistula, defined as penetration of a gastric lesion into the pericardium, is a rare occurrence. Such a fistula is usually associated with a huge ulcer in the gastric fundus, an ulcer within a hiatus hernia, a history of esophagogastric surgery, the concurrent use of non-steroidal anti-inflammatory drugs (NSAIDs), or Zollinger-Ellison syndrome. The patient in this case presented with shoulder pain and melena, caused by a gastropericardial fistula that had occurred as a late complication of postoperative esophagogastrostomy and a refractory gastric ulcer. Despite the severity of the condition, the patient showed great improvement after medical treatment and the fistula was cured at the end. Yonsei University College of Medicine 2010-03-01 2010-02-12 /pmc/articles/PMC2824874/ /pubmed/20191021 http://dx.doi.org/10.3349/ymj.2010.51.2.270 Text en © Copyright: Yonsei University College of Medicine 2010 http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Park, Semi Kim, Jie-Hyun Lee, Yong Chan Chung, Jae Bock Gastropericardial Fistula as a Complication in a Refractory Gastric Ulcer after Esophagogastrostomy with Gastric Pull-Up |
title | Gastropericardial Fistula as a Complication in a Refractory Gastric Ulcer after Esophagogastrostomy with Gastric Pull-Up |
title_full | Gastropericardial Fistula as a Complication in a Refractory Gastric Ulcer after Esophagogastrostomy with Gastric Pull-Up |
title_fullStr | Gastropericardial Fistula as a Complication in a Refractory Gastric Ulcer after Esophagogastrostomy with Gastric Pull-Up |
title_full_unstemmed | Gastropericardial Fistula as a Complication in a Refractory Gastric Ulcer after Esophagogastrostomy with Gastric Pull-Up |
title_short | Gastropericardial Fistula as a Complication in a Refractory Gastric Ulcer after Esophagogastrostomy with Gastric Pull-Up |
title_sort | gastropericardial fistula as a complication in a refractory gastric ulcer after esophagogastrostomy with gastric pull-up |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2824874/ https://www.ncbi.nlm.nih.gov/pubmed/20191021 http://dx.doi.org/10.3349/ymj.2010.51.2.270 |
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