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Gastropericardial fistula-a complication of hiatus hernia

✍ Scribed by J. L. Monro; R. J. Nicholls; W. Hately; R. S. Murray; G. Flavell

Publisher: John Wiley and Sons
Year: 1974
Tongue: English
Weight: 305 KB
Volume: 61
Category: Article
ISSN: 0007-1323
DOI: 10.1002/bjs.1800610607

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

A case is reported of a pneumopericardium in a 69-year-old woman caused by the rupture into the pericardium of a gastric ulcer situated in a hiatus hernia. Gastrografin studies were used to confirm the diagnosis and her initial conservative management was successful. However, she died at the operation to close her fistula, probably largely as a result of multiple unsuspected pulmonary emboli compounding her acid pericarditis.

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