Incarcerated Giant Hiatal Hernia conditioning hearth shock: case report
<p>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</p><p>pai...
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Archives of Clinical Gastroenterology - Peertechz Publications,
2018-03-14.
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LEADER | 00000 am a22000003u 4500 | ||
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001 | peertech__10_17352_2455-2283_000049 | ||
042 | |a dc | ||
100 | 1 | 0 | |a Medina Andrade Luis Angel |e author |
700 | 1 | 0 | |a Cesar Manuel Vargas Sahagún |e author |
700 | 1 | 0 | |a Carlos Eduardo Rodriguez Rodriguez |e author |
700 | 1 | 0 | |a Pedro Leonardo Villanueva Solorzano |e author |
700 | 1 | 0 | |a Alberto Robles Méndez Hernández |e author |
700 | 1 | 0 | |a Bernardo Gutierrez Muñoz |e author |
700 | 1 | 0 | |a Valdez Hernandez Brenda Elizabeth |e author |
700 | 1 | 0 | |a Brigitte Marlene Chevillon Castillo |e author |
700 | 1 | 0 | |a Vallejo Ramirez Jose Eduardo |e author |
700 | 1 | 0 | |a Campos Cruz Alan Ranferi |e author |
700 | 1 | 0 | |a Tolentino Gonzalez Christian Stefan |e author |
245 | 0 | 0 | |a Incarcerated Giant Hiatal Hernia conditioning hearth shock: case report |
260 | |b Archives of Clinical Gastroenterology - Peertechz Publications, |c 2018-03-14. | ||
520 | |a <p>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</p><p>pain. At physical exam she refers abdominal and thoracic pain, dyspnea and occasional threw up for the</p><p>last 2 days, with a background of this symptoms the last 5 years, and gastroesophageal refl ux symptoms</p><p>for 10 years. At admission, she referred epigastric and retrosternal pain, dyspnea, with an 02 of 75%, bowel</p><p>sounds in left hemithorax, mean arterial pressure of 50mmHg with the use of norepinephrine. Laboratories</p><p>do not reveal sepsis and CT scan reports a hiatal hernia of 9 cm with left hemithorax occupied by stomach,</p><p>colon, and spleen. A cardiogenic shock by compression was suspected with this data and a laparotomy</p><p>was scheduled. CT scan report was confi rmed and the mentioned organs were reduced to abdomen</p><p>without problems, both diaphragmatic pillars were sutured and a Nissen fundoplication completed. After</p><p>6 hours' norepinephrine was suspended and 48 hours after the patient were discharged uneventfully.</p><p>Conclusion: Giant hiatal hernia must be suspected in patients with chronic abdominal and thoracic</p><p>pain with refl ux symptoms because the complications associated with this disease could have a mortality</p><p>near 30% in case of strangulation and a scheduled surgery could be very safe in the correct moment.</p> | ||
540 | |a Copyright © Medina Andrade Luis Angel et al. | ||
546 | |a en | ||
655 | 7 | |a Case Report |2 local | |
856 | 4 | 1 | |u https://doi.org/10.17352/2455-2283.000049 |z Connect to this object online. |