Terminal ileum gangrene secondary to a type IV paraesophageal hernia
| Autor: | Jenq Shyong Chan, Chih Chien Chiu, Yee Fung Lin, Po Jen Hsiao, Yuan Hung Lo, Chia Jen Hsiao, Ching Tsai Hsu |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Paraesophageal Case Report Epigastric pain Gangrene 03 medical and health sciences 0302 clinical medicine Ileum medicine Humans Hernia Aged Thoracic cavity business.industry Ileal Diseases Stomach Gastroenterology General Medicine Explorative laparotomy medicine.disease Surgery Abdominal Pain medicine.anatomical_structure Hernia Hiatal Treatment Outcome 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Female medicine.symptom business Tomography X-Ray Computed |
| Zdroj: | World journal of gastroenterology. 22(8) |
| ISSN: | 2219-2840 |
| Popis: | Type IV paraesophageal hernia (PEH) is very rare, and is characterized by the intrathoracic herniation of the abdominal viscera other than the stomach into the chest. We describe a 78-year-old woman who presented at our emergency department because of epigastric pain that she had experienced over the past 24 h. On the day after admission, her pain became severe and was accompanied by right chest pain and dyspnea. Chest radiography revealed an intrathoracic intestinal gas bubble occupying the right lower lung field. Emergency explorative laparotomy identified a type IV PEH with herniation of only the terminal ileum through a hiatal defect into the right thoracic cavity. In this report, we also present a review of similar cases in the literature published between 1980 and 2015 in PubMed. There were four published cases of small bowel herniation into the thoracic cavity during this period. Our patient represents a rare case of an individual diagnosed with type IV PEH with incarceration of only the terminal ileum. |
| Databáze: | OpenAIRE |
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