Left diaphragmatic hernia complicated by perforation of an intrathoracic gastric ulcer into the aorta: report of a case.
We describe herein a rare but fatal complication of diaphragmatic hernia that occurred in a 51-year-old man 3 years after his diaphragm had been repaired by a polytetrafluoroethylene sheet following resection during pleuropneumonectomy for a left pleural mesothelioma. He was admitted to our hospital in shock status, and was found to have massive bleeding from the nasogastric tube. An emergency operation revealed that an ulcer of the stomach, which had been displaced into the left thorax, had perforated directly into the descending aorta.
Saito
Y
Y
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan.
Yamakawa
Y
Y
Niwa
H
H
Kiriyama
M
M
Fukai
I
I
Kondo
S
S
Fujii
Y
Y
D001013:Aorta, Thoracic; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006548:Hernia, Diaphragmatic / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000150:complications*; D013276:Stomach Ulcer / Q000150:complications*