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

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-inflamm...

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Main Authors: Marsoh Manduch, John P Rossiter, William T Depew, C Dale Mercer, David J Hurlbut
Format: Article
Language:English
Published: Wiley 2008-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2008/784132
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author Marsoh Manduch
John P Rossiter
William T Depew
C Dale Mercer
David J Hurlbut
author_facet Marsoh Manduch
John P Rossiter
William T Depew
C Dale Mercer
David J Hurlbut
author_sort Marsoh Manduch
collection DOAJ
description 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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publishDate 2008-01-01
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series Canadian Journal of Gastroenterology
spelling doaj-art-7d51e1a1bdeb44d3ad3a9312e6daf33e2025-02-03T06:01:46ZengWileyCanadian Journal of Gastroenterology0835-79002008-01-0122329930210.1155/2008/784132Fatal Hemorrhage from a Gastroaortic Fistula Secondary to Gastric Ulceration Associated with Nissen Fundoplication and Nonsteroidal Anti-Inflammatory Drug UseMarsoh Manduch0John P Rossiter1William T Depew2C Dale Mercer3David J Hurlbut4Department of Pathology and Molecular Medicine, Kingston General Hospital, Queen’s University, Kingston, Ontario, CanadaDepartment of Pathology and Molecular Medicine, Kingston General Hospital, Queen’s University, Kingston, Ontario, CanadaDepartment of Medicine (Gastroenterology), Kingston General Hospital, Queen’s University, Kingston, Ontario, CanadaDepartment of Surgery, Kingston General Hospital, Queen’s University, Kingston, Ontario, CanadaDepartment of Pathology and Molecular Medicine, Kingston General Hospital, Queen’s University, Kingston, Ontario, CanadaAcute 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.http://dx.doi.org/10.1155/2008/784132
spellingShingle Marsoh Manduch
John P Rossiter
William T Depew
C Dale Mercer
David J Hurlbut
Fatal Hemorrhage from a Gastroaortic Fistula Secondary to Gastric Ulceration Associated with Nissen Fundoplication and Nonsteroidal Anti-Inflammatory Drug Use
Canadian Journal of Gastroenterology
title Fatal Hemorrhage from a Gastroaortic Fistula Secondary to Gastric Ulceration Associated with Nissen Fundoplication and Nonsteroidal Anti-Inflammatory Drug Use
title_full Fatal Hemorrhage from a Gastroaortic Fistula Secondary to Gastric Ulceration Associated with Nissen Fundoplication and Nonsteroidal Anti-Inflammatory Drug Use
title_fullStr Fatal Hemorrhage from a Gastroaortic Fistula Secondary to Gastric Ulceration Associated with Nissen Fundoplication and Nonsteroidal Anti-Inflammatory Drug Use
title_full_unstemmed Fatal Hemorrhage from a Gastroaortic Fistula Secondary to Gastric Ulceration Associated with Nissen Fundoplication and Nonsteroidal Anti-Inflammatory Drug Use
title_short Fatal Hemorrhage from a Gastroaortic Fistula Secondary to Gastric Ulceration Associated with Nissen Fundoplication and Nonsteroidal Anti-Inflammatory Drug Use
title_sort fatal hemorrhage from a gastroaortic fistula secondary to gastric ulceration associated with nissen fundoplication and nonsteroidal anti inflammatory drug use
url http://dx.doi.org/10.1155/2008/784132
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