Gastro-right ventricular fistula: a deadly complication of a gastric pull-through.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 20609805.
- Also identified by DOI 10.1016/j.athoracsur.2009.11.042.
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Abstract
A 70-year-old patient presented with melena, dyspnea, and generalized weakness. An endoscopy revealed a deep ulcer with a pulsatile clot in the intrathoracic gastric tube that had been previously constructed for esophageal replacement. Shortly thereafter, the patient died of exsanguination secondary to a fistula between the stomach and the right ventricle. This complication presents a unique but deadly cause of gastrointestinal bleeding that mandates swift diagnosis and immediate surgical correction.
Medical subject headings
- Esophageal Diseases
- Esophagectomy
- Gastric Fistula
- Gastrointestinal Hemorrhage
- Heart Diseases
- Stomach