Abstract:
:Penetration of the pericardium and heart is a very rare complication of benign peptic ulcer. The case is reported here of a 76-year-old woman with advanced senile dementia, who was admitted due to melena. Endoscopy revealed a large gastric ulcer located in a giant hiatal hernia. The ulcer base was protruding and strongly pulsatile, and seemed to be mobile and free in relation to the ulcer margins. This effect was particularly obvious during the pulsatile movements. Endoscopic findings suggested ulcer perforation to the pericardium. The patient's relatives denied consent to surgery. She was therefore treated with conservative measures, including parenteral nutrition, ranitidine, and antibiotics. The patient remained in a relatively stable condition, and she was discharged three weeks later. One month later, however, she was admitted with massive bleeding and hypovolemic shock. In spite of resuscitation measures, she died. The autopsy study showed a gastric ulcer penetrating through the pericardium and myocardium into the left ventricle.
journal_name
Endoscopyjournal_title
Endoscopyauthors
Brullet E,Campo R,Combalía N,Marqués G,Armengol-Miró JRdoi
10.1055/s-2007-1005463subject
Has Abstractpub_date
1996-03-01 00:00:00pages
316-8issue
3eissn
0013-726Xissn
1438-8812journal_volume
28pub_type
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