Gastropericardial Fistula as a Complication in a Refractory Gastric Ulcer after Esophagogastrostomy with Gastric Pull-Up
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
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.
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.
참고문헌 (11)
- Sihvo EI, "Gastropericardial fistula, purulent pericarditis, and cardiac tamponade after laparoscopic Nissen fundoplication", Ann Thorac Surg, 81, pp.356~358 (2006)
- Chinnaiyan KM, "Gastric cancer presenting as gastropericardial fistula in a patient with familial adenomatous polyposis syndrome", J Clin Gastroenterol, 38, pp.298~ (2004)
- Kaur H, "True heartburn: a case of gastropericardial fistula", J Clin Gastroenterol, 32, pp.458~ (2001)
- Ikard RW, "Gastropericardial fistula and pericardial abscess: unusual complications of subphrenic abscess following Nissen fundoplication", South Med J, 67, pp.17~19 (1974)
- Farjah F, "Gastropericardial fistula and Candida kruzei pericarditis following laparoscopic Nissen fundoplication (gastropericardial fistula)", Thorac Cardiovasc Surg, 53, pp.365~367 (2005)
- Murthy S, "Gastropericardial fistula after laparoscopic surgery for reflux disease", N Engl J Med, 346, pp.328~332 (2002)
- Grandhi TM, "Gastropericardial fistula:a case report and review of literature", Emerg Med J, 21, pp.644~645 (2004)
- Raju GS, "Giant gastric ulcer: its natural history and outcome in the H2RA era", Am J Gastroenterol, 94, pp.3478~3486 (1999)
- Shih SC, "Expression patterns of transforming growth factor-beta and its receptors in gastric mucosa of patients with refractory gastriculcer", World J Gastroenterol, 11, pp.136~141 (2005)
- Clarke DL, "Attenuated gastric mucosal blood flow predicts non-healing of benign gastric ulcers", Eur Surg Res, 34, pp.432~436 (2002)
- Suga H, "Free jejunal transfer for patients with a history of esophagectomy and gastric pull-up", Ann Plast Surg, 58, pp.182~185 (2007)