Tension pneumopericardium due to gastric ulcer penetration in a patient with recurrent hiatal hernia
https://doi.org/10.24884/0042-4625-2025-184-4-83-85
Abstract
A rare clinical observation of the complication of recurrent hiatal hernia – gastro-pericardial fistula, accompanied by strained pneumopericardium is presented. The effectiveness of stage-by-stage surgical treatment is shown: drainage of the pericardial cavity and followed by left-sided thoracotomy, fistula separation, suturing of a stomach wall defect and drainage of the pleural cavity.
About the Authors
A. V. Reshetov
Municipal hospital № 26; North-Western State Medical University named after I. I. Mechnikov
Competing Interests:
Reshetov Aleksey V., Cand. of Sci. (Med.), Associate Professor of the Department of Phthisiopulmonology and Thoracic Surgery
2, Kostiushko str., Saint Petersburg, 196247
41, Kirochnaya str., Saint Petersburg, 195067
Competing Interests:
The authors declare no conflict of interest.
M. A. Protchenkov
Municipal hospital № 26; St. Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Protchenkov Mikhail A., Dr. of Sci. (Med.), Associate Professor, Professor of the Department of Faculty Surgery named after Prof. A.A. Rusanov
2, Kostiushko str., Saint Petersburg, 196247
2, Litovskaya str., Saint Petersburg, 194100
Competing Interests:
The authors declare no conflict of interest.
A. Yu. Litvinov
Municipal hospital № 26; North-Western State Medical University named after I. I. Mechnikov
Competing Interests:
Litvinov Alexander Yu., Senior Laboratory Assistant of the Department of Phthisiopulmonology and Thoracic Surgery
2, Kostiushko str., Saint Petersburg, 196247
41, Kirochnaya str., Saint Petersburg, 195067
Competing Interests:
The authors declare no conflict of interest.
K. F. Velikiy
Municipal hospital № 26
Competing Interests:
Velikiy Konstantin F., Surgeon of Surgical Department № 1
2, Kostiushko str., Saint Petersburg, 196247
Competing Interests:
The authors declare no conflict of interest.
A. V. Elkin
North-Western State Medical University named after I. I. Mechnikov
Competing Interests:
Elkin Aleksei V., Professor, Dr. of Sci. (Med.), Head of the Department of Phthisiopulmonology and Thoracic Surgery
41, Kirochnaya str., Saint Petersburg, 195067
Competing Interests:
The authors declare no conflict of interest.
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For citations:
Reshetov A.V., Protchenkov M.A., Litvinov A.Yu., Velikiy K.F., Elkin A.V. Tension pneumopericardium due to gastric ulcer penetration in a patient with recurrent hiatal hernia. Grekov's Bulletin of Surgery. 2025;184(4):83-85. (In Russ.) https://doi.org/10.24884/0042-4625-2025-184-4-83-85
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