1. Perforation of a gastrojejunal ulcer into the pericardium. Complication of Wermer's disease (Zollinger-Ellison syndrome)
- Author
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Philip Crastnopol, Walter Phillips, and Donald Ho-Yu Liu
- Subjects
Male ,medicine.medical_specialty ,Adenoma ,Fistula ,Perforation (oil well) ,Diagnosis, Differential ,Zollinger-Ellison Syndrome ,medicine ,Carcinoma ,Pericardium ,Humans ,Pericarditis ,Stomach Ulcer ,business.industry ,Multiple Endocrine Neoplasia ,Pericardial cavity ,Middle Aged ,medicine.disease ,digestive system diseases ,Zollinger-Ellison syndrome ,Surgery ,medicine.anatomical_structure ,Jejunum ,Peptic Ulcer Perforation ,business ,Complication - Abstract
SINCE Zollinger and Ellison first described the syndrome bearing their name1and consisting of unrelenting peptic ulceration, gastric hyperacidity, and pancreatic islet-cell adenoma or carcinoma, many additional aspects of this disorder have been described.2The syndrome of endocrine adenomatosis (Wermer's disease)3was described in only eight of the 260 patients reviewed by Ellison.2 We have recently treated a patient with Wermer's disease (Zollinger-Ellison syndrome) and gastrojejunopericardial fistula in whom the preoperative diagnosis was made and surgical correction attempted. Communication between the pericardial cavity and the gastrointestinal tract is an extremely rare but serious complication of peptic ulceration which is of much interest to clinicians. The report of a single case is prompted by the rarity of this condition as well as its interesting diagnostic and therapeutic aspects. Report of Case A 62-year-old Negro man was admitted to the Queens Hospital Center for the third time on
- Published
- 1967