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Incarcerated Giant Hiatal Hernia conditioning hearth shock: case report

Journal: Archives of Clinical Gastroenterology (Vol.4, No. 1)

Publication Date:

Authors : ;

Page : 012-014

Keywords : Hiatal hernia; Gastroesophageal reflux; Incarcerated hernia; Cardiogenic shock;

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Abstract

Luis Angel MA, Vargas Sahagún CM, Rodriguez Rodriguez CE, Villanueva Solorzano PL, Méndez Hernández AR, et al. (2018) Incarcerated Giant Hiatal Hernia conditioning hearth shock: case report. Arch Clin Gastroenterol 4(1): 012-0 Case: A female patient of 80 years-old was referred to our hospital by septic shock and abdominal pain. At physical exam she refers abdominal and thoracic pain, dyspnea and occasional threw up for the last 2 days, with a background of this symptoms the last 5 years, and gastroesophageal reflux symptoms for 10 years. At admission, she referred epigastric and retrosternal pain, dyspnea, with an 02 of 75%, bowel sounds in left hemithorax, mean arterial pressure of 50mmHg with the use of norepinephrine. Laboratories do not reveal sepsis and CT scan reports a hiatal hernia of 9 cm with left hemithorax occupied by stomach, colon, and spleen. A cardiogenic shock by compression was suspected with this data and a laparotomy was scheduled. CT scan report was confirmed and the mentioned organs were reduced to abdomen without problems, both diaphragmatic pillars were sutured and a Nissen fundoplication completed. After 6 hours' norepinephrine was suspended and 48 hours after the patient were discharged uneventfully.

Last modified: 2018-10-24 18:01:55