Document Detail

Recurrent ulcer of the thoracic stomach penetrating the heart. Report of a case and review of the literature.
MedLine Citation:
PMID:  1127984     Owner:  NLM     Status:  MEDLINE    
Recurrent and severe gastrointestinal bleeding caused the death of a 67-year-old man who had had resection of carcinoma of the cardiac end of the stomach. The hemorrhage was eventually found to be due to perforation of the wall of the left ventricle by a benign ulcer in the region of the esophagogastric anastomosis. At first, resection of the ulcer appeared to be successful, but recurrence of the penetrating ulcer caused fatal hemorrhage 4 1/2 months later. In our review of the literature, we found only one other instance in which an ulcer on an anastomosis perforated the heart. There were reports of 24 other cases of benign ulcers of the stomach or esophogus which penetrated the heart.
C R Lam; A E Angulo; R J Priest
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  69     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1975 May 
Date Detail:
Created Date:  1975-07-14     Completed Date:  1975-07-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  835-8     Citation Subset:  AIM; IM    
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MeSH Terms
Adenocarcinoma / complications*,  surgery
Heart Injuries / etiology*,  surgery
Heart Ventricles / injuries
Peptic Ulcer Perforation / complications*
Rupture, Spontaneous
Stomach Neoplasms / complications*,  surgery
Stomach Ulcer / complications*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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