Giant gastric ulcer penetrating into the heart as a late complication of Nissen fundoplication. Case report.
A case of fatal hemorrhage from a fistula penetrating into the right ventricle is reported. The source of the bleeding was a giant ulcer on a Nissen fundoplication performed 5 years previously to relieve gastroesophageal reflux. The pathologic sequence does not seem to have been previously described.
Servicio de Cirugia General, Hospital de Sant Jaume y Santa Magdalena, Barcelona, Spain.
A
A
Bianchi
M
M
Ubach
D000368:Aged; D005260:Female; D005402:Fistula / Q000209:etiology*; D005747:Gastric Fistula / Q000209:etiology*; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006331:Heart Diseases / Q000209:etiology*; D006801:Humans; D011183:Postoperative Complications; D013276:Stomach Ulcer / Q000209:etiology*