关键词: Gastropericardial fistula esophagogastrostomy refractory gastric ulcer

Mesh : Esophagectomy / methods Gastric Fistula / diagnosis etiology Humans Male Middle Aged Pericardium / pathology Stomach Ulcer / complications surgery

来  源:   DOI:10.3349/ymj.2010.51.2.270   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
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.
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