1. Acute gastric outlet obstruction secondary to exclusive paraoesophageal small bowel herniation: a case report
- Author
-
Saj Wajed, Jean-Charles de Schoutheete, and Alex M. Reece-Smith
- Subjects
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 - Abstract
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.
- Published
- 2017