Hiatal hernia complicated by gastric ulceration and perforation

Abstract

The incidence of gastric ulcer in hiatal hernia is highest in para-esophageal hernia and in chronic incarcerated hernia in older patients. Two patients with chronic incarcerated sliding hernias complicated by unrecognized gastric ulceration and perforation are described. One patient developed a subhepatic and mediastinal abscess; the other developed a gastropleural fistula. The incidence, clinical and roentgen findings, complications, and treatment of gastric ulcers in hiatal hernia are discussed.

Perforated Duodenal Ulcer Associated with an Incarcerated Hiatal Hernia: Report of a Case

“…2 Therefore, early elective surgery before perforation is strongly recommended. [1][2][3][4] Our research failed to find any report on perforated duodenal ulcer associated with incarcerated hiatal hernia and, to the best of our knowledge, ours is the first case to be documented.…”

Gastropleural fistula: a rare complication of a perforated gastric ulcer in a hiatus hernia

“…A limited number of cases dating back to the 1950s have been reported. [1][2][3][4] All reported cases proved to be fatal, with our case being no exception.…”

Hiatal Hernia With Gastric Perforation

“…Past literature, including a literature review by Meredith et al in 1980, described up to a 60% mortality rate in patients with hiatal hernia and gastric perforation, with the recommendation for elective surgery as the treatment of choice in patients with hiatal hernia [ 14 ]. In the present article, we have found a lower mortality rate, which may reflect an increased speed in diagnosis with newer imaging techniques including computed tomography, improved resuscitation techniques, contemporary critical management, and novel antimicrobials.…”