Author:
Ekelund Mikael,Ribbe Else,Willner Julian,Zilling Thomas
Abstract
Abstract
Background
Paraesophageal hernias are quite common and sometimes feared due to the risk of incarceration and strangulation of any herniated organ. The hereby reported combination of an incarcerated paraesophageal hernia containing a perforated peptic ulcer is extremely rare.
Case presentation
An elderly man with multiple medical conditions was admitted due to severe upper abdominal pain. The patient was found to have a paraesophageal hernia and underwent a laparotomy. In the hernia, a perforated benign peptic duodenal ulcer was found. The duodenal defect was over-sewn, the hernial defect was closed and the former hernial cavity was drained by a right-sided chest tube. The patient was discharged one month after surgery and was found to do well at follow-up one month after discharge.
Conclusion
This is the first report of a patient surviving the extremely rare and life-threatening combination of a perforated peptic duodenal ulcer in a paraesophageal hernia.
Publisher
Springer Science and Business Media LLC
Reference19 articles.
1. Samujh R, Kumar D, Rao KL: Paraesophageal hernia in the neonatal period: suspicion on chest X-ray. Indian Pediatr. 2004, 41 (2): 189-191.
2. Al-Salem AH: Congenital paraesophageal hernia in infancy and childhood. Saudi Med J. 2000, 21 (2): 164-167.
3. van der Zee DC, Bax NM, Kramer WL, Mokhaberi B, Ure BM: Laparoscopic management of a paraesophageal hernia with intrathoracic stomach in infants. Eur J Pediatr Surg. 2001, 11 (1): 52-54. 10.1055/s-2001-12193.
4. Hill LD, Tobias JA: Paraesophageal hernia. Arch Surg. 1968, 96 (5): 735-744.
5. Jawad AJ, al-Samarrai AI, al-Mofada S, al-Howasi M, Hawass NE, al-Beiruti Z: Congenital para-oesophageal hiatal hernia in infancy. Pediatr Surg Int. 1998, 13 (2-3): 91-94. 10.1007/s003830050256.
Cited by
10 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献