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

Semi Park, Jie Hyun Kim, Yong Chan Lee, Jae Bock Chung

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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.

Original languageEnglish
Pages (from-to)270-272
Number of pages3
JournalYonsei medical journal
Issue number2
Publication statusPublished - 2010 Mar 1


All Science Journal Classification (ASJC) codes

  • Medicine(all)

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