SciELO - Scientific Electronic Library Online

 
vol.102 issue1Recaídas de la artritis crónica juvenil luego de la suspensión de etanercept author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO

Share


Archivos argentinos de pediatría

Print version ISSN 0325-0075On-line version ISSN 1668-3501

Abstract

MAKAROVSKY, Jorge et al. Fístula ventriculogástrica: una causa excepcional de hemorragia digestiva alta. Corrección quirúrgica exitosa con circulación extracorpórea. Arch. argent. pediatr. [online]. 2004, vol.102, n.1, pp.49-52. ISSN 0325-0075.

The bleeding ventricular-gastric fistula is a pathology which can be exceptionally found in the daily practice, generally secondary to a benign peptic ulcer, and usually diagnosed at postmortem examination. Bibliography reports a mortality rate of almost 100% with conventional surgery. We report a 6-year-old patient with a medical history of esophageal repair after drinking caustic soda, and multiple mediastinal fistulae. The patient was examined because of high digestive bleeding with hypovolemic shock. A chest and abdominal helical computed tomography with contrast enhancement and multiplanar reconstruction was carried out, which revealed a fistula from the stomach to the heart. It was decided to perform surgical treatmen through sternal and abdominal approach with the use of cardiopulmonary bypass. A fistula between the left ventricle's posterior wall and the stomach was observed. Simple closing of the LV hole, partial gastrectomy, jejunostomy and gastrostomy were conducted. Conclusion. We believe that this case provides use fulguidelines for diagnosis and for a combined therapeutic approach by two surgical teams, as well as for the use of CPB, which can contribute to obtain better results than those published until today.

Keywords : Digestive hemorrhage; Ventricle-gastric fistula; Cardiopulmonary bypass.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License