Giant hiatal hernia: beware of the supine ICU chest X-ray!

Bunel, Vincent; Mordant, Pierre; Ribeiro, Luís; Crestani, Bruno

doi:10.1136/bcr-2017-219668

Cited by 3 publications

(1 citation statement)

References 3 publications

(2 reference statements)

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“…The fi rst symptom can be due to refl ux mediated lung fi brosis or due to compression of cardiac structures like the left atrium and coronary sinus [2]. This kind of giant hiatal hernias use to be more frequent in elderly, manifested by dyspnea and cardiac failure due to compression, with hypoxemia, hypercapnia, and respiratory distress, those symptoms will improve with supplementary oxygen and allow us to suspect the cardiogenic origin [3].…”

Section: Discussionmentioning

confidence: 99%

Incarcerated Giant Hiatal Hernia conditioning hearth shock: case report

Angel¹

2015

Arch Clin Gastroenterol

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Between the hiatal hernias, the type IV is the less frequent by the great defect, but this type had a high incidence of incarceration (5%), and a mortality rate up to 27%. Case:A female patient of 80 years-old was referred to our hospital by septic shock and abdominal pain. At physical exam she refers abdominal and thoracic pain, dyspnea and occasional threw up for the last 2 days, with a background of this symptoms the last 5 years, and gastroesophageal refl ux symptoms for 10 years. At admission, she referred epigastric and retrosternal pain, dyspnea, with an 02 of 75%, bowel sounds in left hemithorax, mean arterial pressure of 50mmHg with the use of norepinephrine. Laboratories do not reveal sepsis and CT scan reports a hiatal hernia of 9 cm with left hemithorax occupied by stomach, colon, and spleen. A cardiogenic shock by compression was suspected with this data and a laparotomy was scheduled. CT scan report was confi rmed and the mentioned organs were reduced to abdomen without problems, both diaphragmatic pillars were sutured and a Nissen fundoplication completed. After 6 hours' norepinephrine was suspended and 48 hours after the patient were discharged uneventfully. Conclusion:Giant hiatal hernia must be suspected in patients with chronic abdominal and thoracic pain with refl ux symptoms because the complications associated with this disease could have a mortality near 30% in case of strangulation and a scheduled surgery could be very safe in the correct moment.

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Section: Discussionmentioning

confidence: 99%

Incarcerated Giant Hiatal Hernia conditioning hearth shock: case report

Angel¹

2015

Arch Clin Gastroenterol

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Causas y tratamiento quirúrgico de la diplopía y estrabismo en la miastenia gravis

Sanz

Pérez

Peinado

et al. 2019

Archivos de la Sociedad Española de Oftalmología

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A Single-Center Experience of Osteosynthesis Material Infection after Rib Fixation for Blunt Trauma

Agrafiotis

Etienne

Roux

et al. 2020

Thorac Cardiovasc Surg

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Introduction There is no data regarding the incidence and treatment of deep infection affecting the surgical implants after rib fixation. The aim of this study is to share our experience in the management of infected material after surgical rib fixation. Methods The medical records of operated patients from January 2012 to December 2018 were retrospectively analyzed. Results Three patients out of 87 (3.44%) developed an infection. One patient was treated conservatively and two patients were operated for hardware removal. Conclusions The lack of evidence prompts for the design of surgical databases to share experience and enhance available data.

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Giant hiatal hernia: beware of the supine ICU chest X-ray!

Cited by 3 publications

References 3 publications

Incarcerated Giant Hiatal Hernia conditioning hearth shock: case report

Incarcerated Giant Hiatal Hernia conditioning hearth shock: case report

Causas y tratamiento quirúrgico de la diplopía y estrabismo en la miastenia gravis

A Single-Center Experience of Osteosynthesis Material Infection after Rib Fixation for Blunt Trauma

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