title: Case presentation: a gastroventricular fistula resulting from peptic ulcer disease.
abstract: Gastroventricular fistula is rarely entertained in the differential diagnoses of gastrointestinal bleeding. In fact, most diagnoses are made during postmortem examinations. This article presents a patient who had a gastroventricular fistula develop, and with prompt surgical intervention, had a successful outcome. This patient also may be the only known survivor of such a catastrophic event. This article also discusses the predisposing factors that, when combined with uncontrollable gastrointestinal hemorrhage, suggest a diagnosis of gastroventricular fistula. A high degree of suspicion is required for early diagnosis, prompt surgical repair, and survival.
authors.affiliation: Coronary Intensive Care Unit, Miami Valley Hospital, Dayton, Ohio, USA.
authors.forename: R
authors.initials: R
authors.lastname: Trupp
mesh_terms: D005402:Fistula / Q000209:etiology*; D005747:Gastric Fistula / Q000209:etiology*; D006331:Heart Diseases / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology; D013276:Stomach Ulcer / Q000150:complications*