Die Perforation ins Herz – seltene Komplikation eines Ulcus ventriculi in einer Hiatushernie

Abstract

Perforation into the heart is a rare ulcer complication in a hiatal hernia. Because of the massive bleeding, medical help is often in vain. The case of a 73-year-old patient reported by our department confirms this. Endoscopic treatment was not possible because of the extraordinary amount of blood in the stomach, and the high intraoperative blood loss was lethal. If gastric ulcers occur in upper regions of the stomach, the possibility of the presence of an paraesophageal hernia and elective surgical treatment must be considered.

Fatal complications of adult paraesophageal hernia: A population-based study

“…A detailed picture of the nature and behavior of these hiatal hernias at the population level is, however, lacking, with surgical decisions based on small studies and anecdotal case reports. 8,9,13,14,[18][19][20][21] The aim of our study was to evaluate population-based mortality from paraesophageal hernias in symptomatic patients and the nature of these lethal complications, including those occurring postoperatively, inside one clearly defined geographic area.…”