Perforation of a gastric tube peptic ulcer into the thoracic aorta.
We present a case of a 52-year-old male patient who died from massive hematemesis as a result of perforation of a benign peptic ulcer into the descending thoracic aorta, 1 year after esophagectomy for esophageal cancer and gastric tube interposition. We also review the literature for mechanisms of ulceration in intrathoracic gastric grafts and for complications of such ulcers.
Katsoulis
I E
IE
Second Surgical Department, Evangelismos General Hospital, Athens, Greece.
Veloudis
G
G
Exarchos
D
D
Yannopoulos
P
P
D001013:Aorta, Thoracic / Q000000981:diagnostic imaging*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000009:adverse effects; D006396:Hematemesis / Q000209:etiology* / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000150:complications* / Q000000981:diagnostic imaging*; D011859:Radiography; D013276:Stomach Ulcer / Q000150:complications* / Q000000981:diagnostic imaging* / Q000209:etiology