Salling N, Falensteen A M, Larsen L G
Acta Med Scand. 1983;213(3):225-6. doi: 10.1111/j.0954-6820.1983.tb03722.x.
A patient with ulcer in a hiatal hernia with perforation to the pericardial sac is reported. The symptoms and signs of non-traumatic perforation from esophagus or stomach to the pericardium or heart are described on the basis of a brief review of the literature. A prominent feature of our patient was long-standing pain in the left shoulder. We suggest that this symptom may be a warning of threatening pericardial perforation.
报告了一例患有食管裂孔疝溃疡并穿孔至心包囊的患者。在简要回顾文献的基础上，描述了食管或胃非创伤性穿孔至心包或心脏的症状和体征。我们患者的一个突出特征是左肩长期疼痛。我们认为这种症状可能是心包穿孔的警示信号。
