%0 Case Reports
%T Gastropericardial fistula as a complication in a refractory gastric ulcer after esophagogastrostomy with gastric pull-up.
%A Park S
%A Kim JH
%A Lee YC
%A Chung JB
%J Yonsei Med J
%V 51
%N 2
%D Mar 2010
%M 20191021
%F 3.052
%R 10.3349/ymj.2010.51.2.270
%X 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.