Non-traumatic perforation of gastric ulcer in a hiatal hernia to the pericardium

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.

Publication types

  • Case Reports

MeSH terms

  • Diagnosis, Differential
  • Female
  • Hernia, Diaphragmatic / complications*
  • Hernia, Hiatal / complications*
  • Humans
  • Middle Aged
  • Pain / etiology
  • Pericarditis / diagnosis
  • Pericarditis / etiology*
  • Pericardium / pathology*
  • Shoulder
  • Stomach Ulcer / complications