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KMID : 0311120100510020270
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Yonsei Medical Journal
2010 Volume.51 No. 2 p.270 ~ p.272
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Gastropericardial Fistula as a Complication in a Refractory Gastric Ulcer after Esophagogastrostomy with Gastric Pull-Up
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Park Se-Mi
Kim Jie-Hyun
Lee Yong-Chan
Chung Jae-Bock
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Abstract
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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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KEYWORD
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Gastropericardial fistula, refractory gastric ulcer, esophagogastrostomy
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