Fatal Hemorrhage from a Gastroaortic Fistula Secondary to Gastric Ulceration Associated with Nissen Fundoplication and Nonsteroidal Anti-Inflammatory Drug Use

Autor: Marsoh Manduch, John P Rossiter, William T Depew, C Dale Mercer, David J Hurlbut
Jazyk: angličtina
Rok vydání: 2008
Předmět:
Zdroj: Canadian Journal of Gastroenterology, Vol 22, Iss 3, Pp 299-302 (2008)
Druh dokumentu: article
ISSN: 0835-7900
DOI: 10.1155/2008/784132
Popis: Acute gastrointestinal hemorrhage from a gastroaortic fistula in the gastric fundoplication pouch is a rare complication of Nissen fundoplication. The present case reports a gastroaortic fistula secondary to gastric ulceration associated with prior Nissen fundoplication and nonsteroidal anti-inflammatory drug use. A 55-year-old man presented with massive hematemesis and died of exsanguination during emergency laparotomy. Recognition of factors that predispose a patient to gastric ulceration after fundoplication, including nonsteroidal anti-inflammatory drug use, is critical to arouse the high index of suspicion required to diagnose and manage this life-threatening complication.
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