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Zollinger-Ellison syndrome with pneumopericardium

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Summary

A 55-year-old white male was found to have the Zollinger-Ellison syndrome in 1971. Supposed total gastrectomy was performed at that time. When an esophageal ulcer was found, six years later, esophagoscopic biopsy revealed residual gastric mucosa. The patient was given cimetidine 300 mg qid because it was felt he could not tolerate further surgery. After eight months of cimetidine therapy, the patient was admitted to the hospital because of retrosternal pain. Pneumopericardium was discovered, and at autopsy a large penetrating gastrojejunal ulcer was demonstrated.

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Authors and Affiliations

  1. Department of Medicine, East Orange Veterans Administration Medical Center, College of Medicine and Dentistry of New Jersey-New Jersey Medical School, 07019, East Orange, New Jersey

    Jon D. Green MD, Surendra M. Sharma MD, Robert F. Pierozak Jr MD &  Suat Akgun MD

Authors
  1. Jon D. Green MD
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  2. Surendra M. Sharma MD
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  3. Robert F. Pierozak Jr MD
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  4. Suat Akgun MD
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Supported by the Medical Research Service of the Veterans Administration.

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Green, J.D., Sharma, S.M., Pierozak, R.F. et al. Zollinger-Ellison syndrome with pneumopericardium. Digest Dis Sci 24, 485–489 (1979). https://doi.org/10.1007/BF01299834

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  • DOI: https://doi.org/10.1007/BF01299834

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