TAILIEUCHUNG - Báo cáo y học: " Perforated gastric corpus in a strangulated paraesophageal hernia: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Perforated gastric corpus in a strangulated paraesophageal hernia: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Perforated gastric corpus in a strangulated paraesophageal hernia a case report Alexis E Shafii1 Steven C Agle2 and Emmanuel E Zervos2 Address Department of Thoracic and Cardiovascular Surgery The Cleveland Clinic 9500 Eucid Avenue Cleveland Ohio 44195 United States and 2Department of Surgery East Carolina University 600 Moye Boulevard Greenville North Carolina 27834 United States Email AES - shafiia@ SCA - agles@ EEZ - zervose@ Corresponding author Published 7 May 2009 Received 8 December 2008 Journal of Medical Case Reports 2009 3 6507 doi 1752-1947-3-6507 Accepted 9 February 2009 This article is available from http jmedicalcasereports article view 6507 2009 Shafii et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Patients with paraesophageal hernias often present secondary to chronic symptomatology. Infrequently acute intestinal ischemia and perforation can occur as a consequence of paraesophageal hernias with potentially dire consequences. Case presentation An 86-year-old obtunded male presented to the emergency department with hypotension and severe back and abdominal pain. An emergency abdominal CT scan was ordered with a presumptive diagnosis of ruptured abdominal aortic aneurysm. CT topograms revealed extensive free intra-abdominal air and herniated abdominal viscera into the right hemithorax. Prior to completion of the CT study the patient sustained a cardiopulmonary arrest. Surgery was consulted but the patient was unable to be revived. Post-mortem examination revealed gross contamination within the abdomen and a giant incarcerated hiatal hernia with organoaxial volvulus and .

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