Congenital para-oesophageal hiatus hernia: an interesting family history

True congenital para-oesophageal hiatus hernias are rare 1 ; an intrathoracic gastric volvulus complicating such a hernia is rarer still although a well recognised paediatric surgical emergency. Rapid diagnosis and treatment is required to avoid gastric gangrene, perforation, or dilatation that can...

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Bibliographic Details
Published in:Emergency medicine journal : EMJ 2004-11, Vol.21 (6), p.749-750
Main Authors: Rees, J E, Robertson, S, McNinch, A W
Format: Article
Language:English
Subjects:
Abdomen
Blood
Case Report
congenital para-oesophageal hiatus hernia
Emergencies
Emergency Treatment - methods
Female
Fluids
genetics
Hernia, Hiatal - complications
Hernia, Hiatal - congenital
Hernias
Humans
Infant
paediatrics
Stomach
Stomach Volvulus - complications
Stomach Volvulus - congenital
Surgery
Treatment Outcome
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Description
Summary:True congenital para-oesophageal hiatus hernias are rare 1 ; an intrathoracic gastric volvulus complicating such a hernia is rarer still although a well recognised paediatric surgical emergency. Rapid diagnosis and treatment is required to avoid gastric gangrene, perforation, or dilatation that can lead to cardiopulmonary arrest. 2 CASE REPORT A girl of 18 months presented to the emergency department in a collapsed state having vomited all liquids taken for 48 hours.
ISSN:1472-0205
1472-0213
DOI:10.1136/emj.2003.007310