Gastropericardial Fistula as a Complication in a Refractory Gastric Ulcer after Esophagogastrostomy with Gastric Pull-Up.
10.3349/ymj.2010.51.2.270
- Author:
Semi PARK
1
;
Jie Hyun KIM
;
Yong Chan LEE
;
Jae Bock CHUNG
Author Information
1. Department of Internal Medicine, Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea. jbchung@yuhs.ac
- Publication Type:Case Report
- Keywords:
Gastropericardial fistula;
refractory gastric ulcer;
esophagogastrostomy
- MeSH:
Esophagectomy/*methods;
Gastric Fistula/*diagnosis/*etiology;
Humans;
Male;
Middle Aged;
Pericardium/*pathology;
Stomach Ulcer/*complications/*surgery
- From:Yonsei Medical Journal
2010;51(2):270-272
- CountryRepublic of Korea
- Language:English
-
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.
