Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Perforation cardiaque d'un ulcère gastrique: une cause inhabituelle de décès, après résection oesogastrique pour carcinome épidermoïde de l'oesophage [Cardiac perforation by a gastric ulcer: an unusual cause of death, after an esophageal and gastric resection of an epidermoid esophageal carcinoma]
Revue Medicale de la Suisse Romande
We report here the case of a 55 year old female that underwent surgery for a well differentiated squamous cell carcinoma of the esophagus (middle third). Four months after surgery, she complains of neck pain, for which she is prescribed non steroidal antiinflammatory drugs (NSAID). A CT-scan and a Barium swallow are then normal. After three weeks of treatment, the patient is admitted on emergency to the Intensive Care Unit for a resuscitation hematemesis and atrial fibrillation with a fast ventricular response. The symptoms are stabilized after the transfusion of a few packed red blood cells. A few hours later, however, a massive hematemesis recurs and the patient dies despite intense resuscitation measures. Autopsy reveals three gastric ulcers, one of which had perforated through the cardiac left ventricular wall
adverse effects , Carcinoma,Squamous Cell , Cause of Death , complications , Esophageal Neoplasms , Esophagectomy , etiology , Fatal Outcome , Female , Gastrectomy , Heart Ventricles , Humans , injuries , Middle Aged , pathology , Peptic Ulcer Perforation , Rupture,Spontaneous , Stomach Ulcer , surgery
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