THE RARE CASE OF STRANGULATED HIATAL HERNIA AFTER ESOPHAGECTOMY
Relevance. In this article we will talk about rare case of strangulated hiatal hernia after esophagectomy.Case descriptions.The patient was hospitalized in the surgical department with a hiatal hernia and adhesive disease. The 9 months ago this patient has a treatment in regional oncological hospita...
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Ministry of Health of the Russian Federation, Irkutsk State Medical University
2024-09-01
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Series: | Байкальский медицинский журнал |
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Online Access: | https://www.bmjour.ru/jour/article/view/232 |
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author | Vladimir A. Beloborodov Mikhail A Kozhevnikov Artem P Tomash |
author_facet | Vladimir A. Beloborodov Mikhail A Kozhevnikov Artem P Tomash |
author_sort | Vladimir A. Beloborodov |
collection | DOAJ |
description | Relevance. In this article we will talk about rare case of strangulated hiatal hernia after esophagectomy.Case descriptions.The patient was hospitalized in the surgical department with a hiatal hernia and adhesive disease. The 9 months ago this patient has a treatment in regional oncological hospital by esophageal carcinoma. The esophagectomy with plastic by Lewis it is normal operation from the patients with esophageal cancer. The patient has a complaint on pain in the chest, vomiting and constipation during two days. The differential diagnosis was between cardiac ischemia, pneumonia, adhesive disease and acute pancreatitis. The blood analysis are don’t have a symptoms of acute inflammation. The contrast intestinal examination multispiral computed tomography scan was revealed the hiatal hernia. The clinical picture of intestinal obstruction has place on next day. The surgery was done. The cause of intestinal obstruction is the strangulated hiatal hernia with prolapse small intestine in left pleural cavity. The resection of necrotic intestin, entero-enteroanastomosis and diaphragm plastic was done. The patient is recovered.Conclusion. The stomach is strangulated in hiatal hernia more often. The strangulated hiatal hernia after Lewis esophagectomy is rare case (no more 4 %). The small intestine in the hernial sac can be rare also (no more 20 % from all cases). |
format | Article |
id | doaj-art-5f94e510b831438aaf51b178d179f5a1 |
institution | Kabale University |
issn | 2949-0715 |
language | English |
publishDate | 2024-09-01 |
publisher | Ministry of Health of the Russian Federation, Irkutsk State Medical University |
record_format | Article |
series | Байкальский медицинский журнал |
spelling | doaj-art-5f94e510b831438aaf51b178d179f5a12024-12-28T06:09:12ZengMinistry of Health of the Russian Federation, Irkutsk State Medical UniversityБайкальский медицинский журнал2949-07152024-09-0133485410.57256/2949-0715-2024-3-48-54139THE RARE CASE OF STRANGULATED HIATAL HERNIA AFTER ESOPHAGECTOMYVladimir A. Beloborodov0Mikhail A Kozhevnikov1Artem P Tomash2Irkutsk State Medical University, Russia, 664003, Irkutsk, st. Krasnogo Vosstaniya, 1Irkutsk State Medical University, Russia, 664003, Irkutsk, st. Krasnogo Vosstaniya, 1.Irkutsk City Hospital № 1Relevance. In this article we will talk about rare case of strangulated hiatal hernia after esophagectomy.Case descriptions.The patient was hospitalized in the surgical department with a hiatal hernia and adhesive disease. The 9 months ago this patient has a treatment in regional oncological hospital by esophageal carcinoma. The esophagectomy with plastic by Lewis it is normal operation from the patients with esophageal cancer. The patient has a complaint on pain in the chest, vomiting and constipation during two days. The differential diagnosis was between cardiac ischemia, pneumonia, adhesive disease and acute pancreatitis. The blood analysis are don’t have a symptoms of acute inflammation. The contrast intestinal examination multispiral computed tomography scan was revealed the hiatal hernia. The clinical picture of intestinal obstruction has place on next day. The surgery was done. The cause of intestinal obstruction is the strangulated hiatal hernia with prolapse small intestine in left pleural cavity. The resection of necrotic intestin, entero-enteroanastomosis and diaphragm plastic was done. The patient is recovered.Conclusion. The stomach is strangulated in hiatal hernia more often. The strangulated hiatal hernia after Lewis esophagectomy is rare case (no more 4 %). The small intestine in the hernial sac can be rare also (no more 20 % from all cases).https://www.bmjour.ru/jour/article/view/232strangulated hiatal herniaesophagectomybowel obstruction |
spellingShingle | Vladimir A. Beloborodov Mikhail A Kozhevnikov Artem P Tomash THE RARE CASE OF STRANGULATED HIATAL HERNIA AFTER ESOPHAGECTOMY Байкальский медицинский журнал strangulated hiatal hernia esophagectomy bowel obstruction |
title | THE RARE CASE OF STRANGULATED HIATAL HERNIA AFTER ESOPHAGECTOMY |
title_full | THE RARE CASE OF STRANGULATED HIATAL HERNIA AFTER ESOPHAGECTOMY |
title_fullStr | THE RARE CASE OF STRANGULATED HIATAL HERNIA AFTER ESOPHAGECTOMY |
title_full_unstemmed | THE RARE CASE OF STRANGULATED HIATAL HERNIA AFTER ESOPHAGECTOMY |
title_short | THE RARE CASE OF STRANGULATED HIATAL HERNIA AFTER ESOPHAGECTOMY |
title_sort | rare case of strangulated hiatal hernia after esophagectomy |
topic | strangulated hiatal hernia esophagectomy bowel obstruction |
url | https://www.bmjour.ru/jour/article/view/232 |
work_keys_str_mv | AT vladimirabeloborodov therarecaseofstrangulatedhiatalherniaafteresophagectomy AT mikhailakozhevnikov therarecaseofstrangulatedhiatalherniaafteresophagectomy AT artemptomash therarecaseofstrangulatedhiatalherniaafteresophagectomy AT vladimirabeloborodov rarecaseofstrangulatedhiatalherniaafteresophagectomy AT mikhailakozhevnikov rarecaseofstrangulatedhiatalherniaafteresophagectomy AT artemptomash rarecaseofstrangulatedhiatalherniaafteresophagectomy |