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Gastropericardial fistula in a patient with upside-down stomach and stomach perforation: a case report

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F21%3AN0000102" target="_blank" >RIV/00098892:_____/21:N0000102 - isvavai.cz</a>

  • Alternative codes found

    RIV/61989592:15110/21:73596673

  • Result on the web

    <a href="https://www.tandfonline.com/doi/full/10.1080/00015458.2019.1631629?scroll=top&needAccess=true" target="_blank" >https://www.tandfonline.com/doi/full/10.1080/00015458.2019.1631629?scroll=top&needAccess=true</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1080/00015458.2019.1631629" target="_blank" >10.1080/00015458.2019.1631629</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Gastropericardial fistula in a patient with upside-down stomach and stomach perforation: a case report

  • Original language description

    Background: Gastropericardial fistula is a pathological communication between the stomach and the pericardium. This case report describes a gastropericardial fistula in a patient with upside-down stomach. Case presentation: The male patient (86) was examined for severe chest pain behind the sternum. CT revealed upside-down stomach with perforation on the lesser gastric curvature and fistulation into the pericardium with pneumopericardium. The patient was indicated for surgery. The procedure was performed from a transverse laparotomy and consisted of repositioning the stomach into the abdominal cavity, resection of the hernial sac, suture of the perforation of the lesser curvature, gastropexy and transhiatal drainage of the mediastinum and lesser sac. In the early postoperative period, the recovery was uneventful. Acute myocardial infarction with cardiorespiratory failure developed on the postoperative day (POD) 13. The patient died on POD 24 due to cardiorespiratory failure, confirmed by a sectional finding. Conclusions: Gastropericardial fistula is a rare acute complication of the diseases of the upper GIT. It is invariably a serious, life-threatening condition. Diagnosis is confirmed by thoracic CT and a contrast swallow study. The necessity of acute surgical treatment is widely accepted. The type of procedure must be selected based on the patient's individual criteria.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30212 - Surgery

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2021

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Acta Chirurgica Belgica

  • ISSN

    0001-5458

  • e-ISSN

    0001-5458

  • Volume of the periodical

    121

  • Issue of the periodical within the volume

    1

  • Country of publishing house

    GB - UNITED KINGDOM

  • Number of pages

    4

  • Pages from-to

    51-54

  • UT code for WoS article

    000475230800001

  • EID of the result in the Scopus database

    2-s2.0-85068189364