食管裂孔疝合并消化性溃疡穿孔至左心室伴全身性空气和食物栓塞

Perforation of a Peptic Ulcer in a Hiatal Hernia Into the Left Ventricle With Systemic Air and Food Embolism.

作者信息

Igarashi Ikumi, Suzuki Keishi, Hosono Fumi, Ichinose Azusa, Abe Shoko, Sugiyama Akira, Sekido Yasutomo

机构信息

From the Departments of Radiology.

Cardiovascular medicine, and.

出版信息

J Comput Assist Tomogr. 2018 Sep/Oct;42(5):767-770. doi: 10.1097/RCT.0000000000000747.

DOI:10.1097/RCT.0000000000000747

PMID:29613995

Abstract

Perforation of a peptic ulcer into the ventricle is uncommon, and the definitive diagnosis is difficult in living patients. We herein report a case of perforation of a peptic ulcer in a hiatal hernia into the left ventricle with systemic air and food embolism. This is the first case report of the perforation diagnosed by computed tomography and confirmed by autopsy. Computed tomography was useful for the diagnosis of perforation into the ventricle.

摘要

消化性溃疡穿孔进入心室的情况并不常见，对于在世患者而言，明确诊断颇具难度。我们在此报告一例患有食管裂孔疝的消化性溃疡穿孔进入左心室并伴有全身性空气和食物栓塞的病例。这是首例通过计算机断层扫描诊断并经尸检证实的穿孔病例报告。计算机断层扫描对于诊断溃疡穿孔进入心室很有帮助。