雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Gastropericardial Fistula by Gastric Ulcer Resulting in Pneumopericardium, Report of a Case Toshimichi Kaneki 1 , Akira Kawashima 1 , Ryuichi Kai 1 1The First Department of Internal Medicine, School of Medicine, Shinshu University Keyword: 胃心膜瘻 , 心膜気腫 , 胃潰瘍 , 心膜炎 , 糖尿病 pp.1535-1538
Published Date 1996/11/25
DOI https://doi.org/10.11477/mf.1403104459
  • Abstract
  • Look Inside

 Fistula from the gastric cavity to the pericardial cavity is very rare. We report a case with gastropericardial fistula resulting from gastric ulcer. A 42-year-old woman was admitted to our hospital because of chest discomfort and dyspnea with high fever followed by vomiting. Chest X-ray film revealed pneumopericardium as well as pneumomediastinum. The patient was diagnosed with pericarditis and mediastinitis based on these findings and routine laboratory tests. Esophagography was not contributable to the diagnosis, but a gastropericardial fistula was suspected by CT scan. After the treatment with pericardial drainage and intravenous hyperalimentation including antibiotics and H2-blocker, endoscopic examination of upper gastrointestinal tract was performed. A small deep ulcer with converging folds was observed in the anterior wall of the upper gastric body. A dye solution which was injected into the pericardial cavity via the drainage tube leak out through the ulcer. This patient was successfully treated conservatively.


Copyright © 1996, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

関連文献

もっと見る

文献を共有