Incarcerated Giant Hiatal Hernia conditioning hearth shock: case report
Journal: Archives of Clinical Gastroenterology (Vol.4, No. 1)Publication Date: 2018-04-12
Authors : Medina Andrade Luis Angel Cesar Manuel Vargas Sahagún Carlos Eduardo Rodriguez Rodriguez Pedro Leonardo Villanueva Solorzano et al.;
Page : 012-014
Keywords : Hiatal hernia; Gastroesophageal reflux; Incarcerated hernia; Cardiogenic shock;
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.
Other Latest Articles
- Pancreaticojejunostomy versus pancreaticogastrostomy after pancreaticoduodenectomy to prevent post-operative pancreatic fi stula, a dissonance between evidence and practice
- A case Report of Perforated Primary Follicular Lymphoma of the Jejunum presenting as Aneurismal Form
- Duodenal Eosinophilia and Gastroparesis: Is there a role?
- Sustainable freshwater aquaculture in the EU and in Hungary
- African Diplostomum (sensu Dubois 1961): Minireview on taxonomy and biology
Last modified: 2018-10-24 18:01:55