Primary paraesophageal hernia in children

Karpelowsky, Jonathan; Wieselthaler, Nicky; Rode, H.

doi:10.1016/j.jpedsurg.2006.05.020

Cited by 54 publications

(84 citation statements)

References 13 publications

(15 reference statements)

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“…Özofajitli hastalarda sıklıkla distal özofa-gustan kanamalar sonucu kronik anemi gelişir. Reflü nedeniyle distal özofagusta kolumnar epitel oluşur ve burada derin ülserler ve bunlara bağlı masif kanamalar görülebilir (3)(4)(5) . Regürjitasyon ilgili olarak larinkste inflamasyon, özellikle geceleri yatmaya bağlı aspirasyonlar ve şiddetli öksürük nöbetleri oluşur (4)(5)(6) .…”

Section: Discussionunclassified

“…Hastalığın belirtileri patognomonik olmadığından tanı için önce-likle hiatus hernisi olasılığı akla gelmelidir (1,2) . Tanı tesadüfen veya yineleyen yakınmalar sonucu yapılan ayrıntılı tetkikler sırasında konulmaktadır (3) . Bu makalede yineleyen anemi ve şok tablosunda başvuran, tetkiklerinde hiatus hernisi bulguları saptanan iki yaşında bir erkek olgu sunulmuştur.…”

Section: Introductionunclassified

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A rare cause of severe anemia in children: Hiatal hernia

Eliaçık¹,

Kanık²,

Aydınlıoğlu³

et al. 2015

Tepecik Dergisi

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ÖZETHiatus hernisi diafragmanın gelişimsel defekti sonucu oluşan, çocukluk yaş grubunda ender olarak görülen bir durumdur. Hastalarda asemptomatik seyredebileceği gibi, solunum ve gastrointestinal sistem bulguları ve anemi görülebilir. Bu makalede başvurusunda periferik nabızlar zayıf, kapiller dolum zamanı 2 sn.'den uzun, kardiak nabız 168/dk. ve ritmik, kan basıncı 70/50 mmHg olan, tetkiklerinde ağır demir eksikliği anemisi saptanan, akciğer grafisinde diafragma üstünde serbest hava görül-mesi ile hiatal herni tanısı alan iki yaşında bir erkek olgu sunulmuştur. Bu olgu nedeniyle şok tablosu ile başvuran derin anemili olgularda hiatus hernisi ve gastrointestinal sistem hastalıklarının ayırıcı tanıda akılda tutulması gerektiği vurgulanmıştır. Anahtar kelimeler: Derin anemi, hiatal herni ABSTRACTHiatal hernia is an uncommon disorder of childhood caused by developmental defect of diaphragm. The patients can be asymptomatic; however, respiratory and gastrointestinal system findings, and anemia may develop. In this paper, a two-year-old case with hiatal hernia whose admission findings were weak peripheral pulses, capillary refill time longer than 2 seconds, cardiac pulse 168/minute and rhythmic, and blood pressure 70/50 mm/Hg. Laboratory analysis revealed severe iron deficiency anemia, and a diagnosis of hiatal hernia was made with an incidentally detected free air over diaphragm on chest radiograph. With this case, it was emphasized that in patients with shock clinic, hiatal hernia and gastrointestinal disease has to be keep in mind for differential diagnosis.

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Section: Discussionunclassified

Section: Introductionunclassified

A rare cause of severe anemia in children: Hiatal hernia

Eliaçık¹,

Kanık²,

Aydınlıoğlu³

et al. 2015

Tepecik Dergisi

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“…Transverse colon is the rarest content of PEHH and in children only very few cases have been reported so far, therefore differential diagnosis with congenital diaphragmatic hernia can be difficult. The displaced transverse colon is usually symptomatic but not strangulated (3,4,6,9). PEHH generally requires surgical treatment (1,4,8,12).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Repair of Paraesophageal Hiatal Hernia in a Newborn

Eņģelis¹,

Schaarschmidt²,

Pētersons³

et al. 2010

Acta Chirurgica Latviensis

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140Summary A 3-month old boy was hospitalized with the suspicion of right sided pneumonia. Examination revealed hiatal or paraesophageal hernia. Ultimately, a laparoscopic operation was performed. During the operation, PEHH of the transverse colon with displaced gastro esophageal junction was discovered. Laproscopic hiatal hernia repair with modified Thal fundoplication were performed. Recovery of child 2 years after surgery was uneventful.

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“…When symptomatic, patients present with epigastric pain, heartburn, nausea, vomiting and regurgitation [7]. Giant hiatus hernias can strangulate, cause anaemia or overt bleeding, and other symptoms such as chest pain or breathlessness after meals [2,8].…”

Section: Discussionmentioning

confidence: 99%

“…Hiatus hernia is a rare condition in the paediatric age group, which may be asymptomatic or it may present with a variety of symptoms or complications [2]. We report a case of sliding hiatus hernia in a 10 year old boy, which was detected incidentally.…”

Section: Introductionmentioning

confidence: 90%