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Bleeding gastric ulcer from a pulmonary artery 20 years post-oesophagectomy: a common presentation with a rare cause

Lookup NU author(s): Professor Alexander PhillipsORCiD, Professor Michael Griffin


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This case presents an unusually late complication of oesophagectomy 20-years post-surgery, with upper gastrointestinal bleeding. Further investigation revealed a gastric conduit ulcer eroding into the lower lobe of the right lung, forming a fistula with a basal branch of the right pulmonary artery. Upon successful embolisation, the HydroCoil® was visible on endoscopy. This case highlights the need for lifetime proton pump inhibitor cover post-oesophagectomy and demonstrates that when approaching uncommon presentations of common problems, careful consideration to treatment technique is essential.

Publication metadata

Author(s): Munro SP, Phillips AW, Griffin SM

Publication type: Article

Publication status: Published

Journal: Annals of the Royal College of Surgeons of England

Year: 2020

Volume: 102

Issue: 9

Pages: e1-e3

Online publication date: 31/07/2020

Acceptance date: 02/04/2016

ISSN (print): elec-tronic

Publisher: Royal College of Surgeons of England


DOI: 10.1308/rcsann.2020.0152

PubMed id: 32735117


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