Perforation of gastric ulcer associated with paraesophageal hernia causing diffuse peritonitis.
OBJECTIVE
Free peritoneal perforation of a gastric ulcer associated with paraesophageal hernia causing diffuse peritonitis is an extremely rare event.


METHODS
Two new cases of this rare condition and the specificities of management are described.


RESULTS
One patient recovered well after surgery, while the other died with signs of persisting sepsis and multiple system organ failure.


CONCLUSIONS
In the wide spectrum of complications related to paraesophageal hernia, free peritoneal perforation of an associated ulcer seems to be one of the gravest. Early elective repair of the paraesophageal hernia is justified.
Rakic
S
S
Department of Surgery, Twenteborg Hospital, Almelo, The Netherlands.
Hissink
R J
RJ
Schiff
B W
BW
D000368:Aged; D005260:Female; D006551:Hernia, Hiatal / Q000150:complications*; D006801:Humans; D010439:Peptic Ulcer Perforation / Q000150:complications*; D010538:Peritonitis / Q000209:etiology*; D013276:Stomach Ulcer / Q000150:complications*