Strangulated perforated hiatus hernia due to pyloric stenosis

The first patient with strangulated hiatus hernia due to pyloric stenosis is reported. A 70-year-old male patient presented as an emergency with severe left-sided chest pain, tachycardia, tachypnea, dysphagia, and nausea but no vomiting. The diagnosis of strangulated hiatus hernia due to pyloric ste...

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Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery 2013-04, Vol.17 (2), p.275-277
Main Authors: Naraynsingh, Vijay, Maharaj, Ravi, Dan, Dilip, Hariharan, Seetharaman
Format: Article
Language:English
Subjects:
Abdominal Surgery
Aged
Case Report
Hernia, Hiatal - complications
Hernia, Hiatal - diagnostic imaging
Hernia, Hiatal - etiology
Humans
Male
Medicine
Medicine & Public Health
Pyloric Stenosis - complications
Pyloric Stenosis - diagnostic imaging
Pyloric Stenosis - surgery
Tomography, X-Ray Computed
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Summary:The first patient with strangulated hiatus hernia due to pyloric stenosis is reported. A 70-year-old male patient presented as an emergency with severe left-sided chest pain, tachycardia, tachypnea, dysphagia, and nausea but no vomiting. The diagnosis of strangulated hiatus hernia due to pyloric stenosis was suspected, because a CT scan done 24 h following a barium meal showed much retained barium in both infra- and supradiaphragmatic parts of the stomach. Recognition of this condition is important since absence of pneumoperitoneum should not delay the diagnosis. In this complication, the perforation is likely to be at the hiatus, not the fundus as occurs in other causes of strangulation. A gastric drainage procedure should be an essential part of treatment.
ISSN:1265-4906
1248-9204
DOI:10.1007/s10029-011-0844-7