title: [Perforation into the heart--a rare complication of stomach ulcer in hiatal hernia].
abstract: Perforation into the heart is a rare ulcer complication in a hiatal hernia. Because of the massive bleeding, medical help is often in vain. The case of a 73-year-old patient reported by our department confirms this. Endoscopic treatment was not possible because of the extraordinary amount of blood in the stomach, and the high intraoperative blood loss was lethal. If gastric ulcers occur in upper regions of the stomach, the possibility of the presence of an paraesophageal hernia and elective surgical treatment must be considered.
authors.affiliation: Abteilung für Allgemein-, Gefäss- und Thoraxchirurgie, Allgemeines Krankenhaus Harburg, Hamburg.
authors.forename: G
authors.initials: G
authors.lastname: Riepe
authors.forename: S
authors.initials: S
authors.lastname: Braun
authors.forename: L
authors.initials: L
authors.lastname: Swoboda
mesh_terms: D000368:Aged; D004630:Emergencies; D017809:Fatal Outcome; D005260:Female; D006341:Heart Rupture / Q000473:pathology*; D006352:Heart Ventricles / Q000473:pathology*; D006551:Hernia, Hiatal / Q000473:pathology*; D006801:Humans; D009336:Necrosis; D010438:Peptic Ulcer Hemorrhage / Q000473:pathology*; D010439:Peptic Ulcer Perforation / Q000473:pathology*; D012422:Rupture, Spontaneous; D013276:Stomach Ulcer / Q000473:pathology*
vernacular_title: Die Perforation ins Herz--seltene Komplikation eines Ulcus ventriculi in einer Hiatushernie.