Palmer R C
Gastroenterology Section, Veterans Administration Medical Center, Albuquerque, NM 87108.
J Clin Gastroenterol. 1989 Aug;11(4):455-7. doi: 10.1097/00004836-198908000-00022.
A 54-year-old man who died from acute upper gastrointestinal blood loss was found on postmortem examination to have a large amount of blood in the intestinal lumen from perforation of a gastric ulcer into the inferior vena cava. Gastric contents had also embolized into the pulmonary circulation. Most of the stomach was located posteriorly in the right thoracic cavity because of prior esophageal surgery, which had brought the posterior wall of the stomach in apposition to the anterior wall of the inferior vena cava. This is thought to be the first report of a gastric ulcer forming a fistula into the inferior vena cava, with food embolization to the lung.
一名54岁男性死于急性上消化道失血，尸检发现因胃溃疡穿孔至下腔静脉导致肠腔内大量积血。胃内容物也已栓塞进入肺循环。由于先前的食管手术，胃的大部分位于右胸腔后部，该手术使胃后壁与下腔静脉前壁贴邻。这被认为是胃溃疡形成通向腔静脉的瘘管并伴有食物栓塞至肺部的首例报告。
