Mellet J S, Cilliers P H
S Afr Med J. 1987 Jul 4;72(1):44-5.
A 74-year-old woman presented with massive upper gastro-intestinal tract bleeding that necessitated an emergency laparotomy. At operation a para-oesophageal hiatal hernia with an ulcer in the herniated fundus of the stomach penetrating the right ventricle was discovered to be the source of the bleeding. Although various complications of para-oesophageal hiatal hernias have been reported, including bleeding, this is the first reported case of ulcer penetration into the ventricle.
一名74岁女性因上消化道大量出血而接受急诊剖腹手术。手术中发现，一个食管旁裂孔疝，其疝入的胃底有一个溃疡，该溃疡穿透右心室，是出血的源头。尽管已经报道了食管旁裂孔疝的各种并发症，包括出血，但这是首例报道的溃疡穿透心室的病例。
