Hiatal Hernia with Intrathoracic Stomach

Authors

  • Bárbara Yanet Sanz Rodríguez Hospital Universitario Dr Miguel Enriquez
  • Laura Garí Marcos Hospital Universitario Dr Miguel Enriquez
  • Aleida Lisveth Escalera Vargas Hospital Universitario Dr Miguel Enriquez
  • Gessie Dianna Mengana Durán Hospital Universitario Dr Miguel Enriquez
  • Lester Varona Santamarina Hospital Universitario Dr Miguel Enriquez

Keywords:

hiatal hernia, computed tomography, gastric volvulus.

Abstract

Introduction: Giant hiatal hernia with intrathoracic stomach is a rare condition. Its clinical manifestations are nonspecific, apart from including vomiting and thoracic or epigastric pain. Complications such as volvulus, perforation or gastric obstruction can occur, being such cases of medical emergency. In many cases, they can be detected incidentally by means of a thoracic X-ray. Targeted imaging studies, particularly the computed tomography or the barium study of the esophagus, stomach and duodenum, are fundamental for the diagnosis and characterization of the anatomy of these lesions. Their treatment is surgical, either by open or laparoscopic surgery.

Objective: To describe the clinical signs, complementary studies, behavior and evolution of a case with a diagnosis of gastric necrosis due to intrathoracic hiatal hernia.

Case presentation: A case is presented of a 30-year-old female patient admitted to the hospital with abdominal and thoracic pain, requiring urgent surgery after a diagnosis of giant hiatal hernia with intrathoracic stomach, as well as organoaxial gastric rotation.

Conclusions: Hiatal hernia with intrathoracic stomach and herniation of other organs to the thorax, such as colon, omentum, liver, small intestine and pancreas, is a rare form of presentation for them. Imaging studies, particularly tomography and barium study, are a cornerstone in the diagnosis of this pathology and its complications.


 

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Published

2023-08-02

How to Cite

1.
Sanz Rodríguez BY, Garí Marcos L, Escalera Vargas AL, Mengana Durán GD, Varona Santamarina L. Hiatal Hernia with Intrathoracic Stomach. Rev Cub Anest Rean [Internet]. 2023 Aug. 2 [cited 2025 Apr. 1];22. Available from: https://revanestesia.sld.cu/index.php/anestRean/article/view/2100

Issue

Vol. 22 (2023): publicación continua

Section

Case reports

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