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Gastropericardial fistula as a complication in a refractory gastric ulcer after esophagogastrostomy with gastric pull-up

Authors
 Semi Park  ;  Jie-Hyun Kim  ;  Yong Chan Lee  ;  Jae Bock Chung 
Citation
 YONSEI MEDICAL JOURNAL, Vol.51(2) : 270-272, 2010 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2010
MeSH
Esophagectomy/methods* ; Gastric Fistula/diagnosis* ; Gastric Fistula/etiology* ; Humans ; Male ; Middle Aged ; Pericardium/pathology* ; Stomach Ulcer/complications* ; Stomach Ulcer/surgery*
Keywords
Gastropericardial fistula ; esophagogastrostomy ; refractory gastric ulcer
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.
Files in This Item:
T201000384.pdf Download
DOI
10.3349/ymj.2010.51.2.270
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jie-Hyun(김지현) ORCID logo https://orcid.org/0000-0002-9198-3326
Park, Se Mi(박세미)
Lee, Yong Chan(이용찬) ORCID logo https://orcid.org/0000-0001-8800-6906
Chung, Jae Bock(정재복)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/100648
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