A peptic ulcer in a reconstructed gastric tube perforating the thoracic aorta after esophageal replacement

被引：8
|
作者：
Yoshinari Mochizuki
Seiji Akiyama
Masahiko Koike
Yasuhiro Kodera
Katsuki Ito
Akimasa Nakao
机构：
[1] Nagoya University School of Medicine,Department of Surgery II
[2] Aichi Cancer Center Hospital,Department of Gastroenterological Surgery
来源：
The Japanese Journal of Thoracic and Cardiovascular Surgery | 2003年 / 51卷 / 9期
关键词：
perforation of peptic ulcer; reconstructed gastric tube; esophageal cancer;
D O I：
10.1007/BF02719601
中图分类号：
学科分类号：
摘要：
The patient was a 64-year-old man who had received subtotal esophagectomy for esophageal cancer reconstructed by a gastric tube via the thoracic route. He was referred to our hospital in a state of shock, with hematemesis. The bleeding site was not detected with studies of emergent endoscopy and angiography. Massive hemorrhage persisting, an immediate emergent operation was performed. However we were not able to locate the site of bleeding during the operation, and unfortunately we failed to save him. Autopsy showed a peptic ulcer in the gastric pedicle had perforated the thoracic aorta. Ulcers occurring in the gastric pedicle are accompanied by a risk of development of perforation of adjacent important visceras.
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收藏
页码：448 / 451
页数：3
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