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Acute gastric outlet obstruction secondary to exclusive paraoesophageal small bowel herniation: a case report
- Source :
- Acta chirurgica Belgica. 118(2)
- Publication Year :
- 2017
-
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.
- 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
Subjects
Details
- ISSN :
- 00015458
- Volume :
- 118
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Acta chirurgica Belgica
- Accession number :
- edsair.doi.dedup.....5aa16976bfd59043e8704026ffb5a82c