International archives of medicine · 2010
Acute hiatal hernia: a late complication following gastrectomy.
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Piciucchi Sara, Milandri Carlo, Verdecchia Giorgio Maria, Framarini Massimo, Amadori Elena, Monti Manlio, Oboldi Devil, Bandi Gianfranco, Barone Domenico, Gavelli Giampaolo
Аннотация
INTRODUCTION: We describe a case of acute hiatal hernia during chemotherapy, in a female patient previously treated with gastrectomy.
CASE PRESENTATION: After gastric resection, the patient underwent chemotherapy, developing important emetic symptoms. A radiograph of the abdomen was performed because of acute epigastrial pain and it showed a marked left diaphragm elevation.A CT scan carried out 24 hours later identified an occlusion with herniation in the left hemi thorax. Subsequent surgical investigation resulted in a diagnosis of hiatal hernia with volvulus.
CONCLUSIONS: This case represents a rare, late complication occurring after gastrectomy.
CASE PRESENTATION: After gastric resection, the patient underwent chemotherapy, developing important emetic symptoms. A radiograph of the abdomen was performed because of acute epigastrial pain and it showed a marked left diaphragm elevation.A CT scan carried out 24 hours later identified an occlusion with herniation in the left hemi thorax. Subsequent surgical investigation resulted in a diagnosis of hiatal hernia with volvulus.
CONCLUSIONS: This case represents a rare, late complication occurring after gastrectomy.