Acute gastric outlet obstruction secondary to exclusive paraoesophageal small bowel herniation: a case report
| Autor: | Saj Wajed, Jean-Charles de Schoutheete, Alex M. Reece-Smith |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Thorax
Male medicine.medical_specialty 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Intestine Small Medicine Humans Hernia 030212 general & internal medicine Paraoesophageal hernia Digestive System Surgical Procedures Aged business.industry Gastric Outlet Obstruction Stomach digestive oral and skin physiology Gastric outlet obstruction General Medicine medicine.disease digestive system diseases Diaphragm (structural system) Surgery stomatognathic diseases medicine.anatomical_structure Hernia Hiatal Hiatus Hernias business Tomography X-Ray Computed |
| Zdroj: | Acta chirurgica Belgica. 118(2) |
| ISSN: | 0001-5458 |
| Popis: | Introduction: Herniation of abdominal viscera into the thorax may occur as a consequence of abnormal defects in the diaphragm. In adults, the most common condition relates to herniations through a weakened crural orifice via which the oesophagus normally traverses. These hiatus hernias are classified as types I–IV depending on the extent of visceral involvement.Case report: We present here a case of type IV hiatus hernia with massive mediastinal herniation of the small bowel, yet remarkable in that the stomach itself remained completely intra-abdominal. Gastric outlet obstruction occurred as a consequence of extrinsic proximal small bowel compression.Discussion: To our knowledge this is the first reported case of paraoesophageal hernia exclusively involving small bowel, without involving any part of the stomach, and yet causing gastric outlet obstruction. |
| Databáze: | OpenAIRE |
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