A surgical emergency due to an incarcerated paraesophageal hernia

Para-oesophageal and parahiatal hernias in an Asian acute care tertiary hospital: an underappreciated surgical condition

“…Furthermore, Asian patients with PEH may have minimal or no symptoms, or nonspecific symptoms (ranging from mild nausea and abdominal distension to acute presentation with obstructive symptoms and dyspnoea), which make early and accurate diagnosis challenging, especially in an emergency situation. (9) The difficulty in accurately diagnosing PEH could result in the underreporting of cases in our Asian population, as patients with PEH may not be identified because they are asymptomatic, or they may be misdiagnosed as having other conditions. Thus, in the Asian context, clinicians need to have a high index of suspicion when patients present with acute upper gastrointestinal tract symptoms.…”

“…Thus, Asian literature reporting on this disease is limited to isolated case reports. (9,10) Parahiatal hernia is an even rarer entity. It is often preoperatively misdiagnosed as PEH, as they have similar radiological findings.…”

Acute gastric volvulus: a surgical emergency

“…In severe cases, respiratory failure may also occur and even sepsis. The plain chest radiography is useful to guide the diagnosis, but most published work considers the computer tomography as the diagnostic test of choice (3).…”

“…However, it is not advisable this type of approach when there is a high clinical suspicion of associated visceral perforation (3,5 …”

Laparoscopic approach to acute abdomen from the Consensus Development Conference of the Società Italiana di Chirurgia Endoscopica e nuove tecnologie (SICE), Associazione Chirurghi Ospedalieri Italiani (ACOI), Società Italiana di Chirurgia (SIC), Società Italiana di Chirurgia d’Urgenza e del Trauma (SICUT), Società Italiana di Chirurgia nell’Ospedalità Privata (SICOP), and the European Association for Endoscopic Surgery (EAES)

“…The most important absolute contraindication to this procedure seems to be the presence of gastric necrosis [281][282][283][284].…”