J Korean Soc Emerg Med.  2009 Jun;20(3):325-327.

Esophageal Hiatal Hernia with GastricPerforation : A Case Report

Affiliations
  • 1Department of Emergency Medicine, University of Ulsan College of Medicine, Ulsan University Hospital, Korea.
  • 2Department of Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Korea.

Abstract

Esophageal hiatal hernia occurs when a portion of the stomach prolapses through the esophageal hiatus into the thoracic cavity. The most common symptoms are epigastric or substernal pain, nausea, vomiting and dyspepsia, but most people with hiatal hernia are asymptomatic or have nonspecific symptoms. Hiatal hernia is usually discovered as an incidental finding on upper gastrointestinal studies or gastroscopy. We now report a case of type II paraesophageal hiatal hernia with gastric perforation. It is important to consider panperitonitis caused by perforation of a herniated stomach when the patient with hiatal hernia has acute abdominal pain.

Keyword

Hiatal hernia; Intestinal perforation; Peritonitis; Complications

MeSH Terms

Abdominal Pain
Dyspepsia
Gastroscopy
Hernia, Hiatal
Humans
Incidental Findings
Intestinal Perforation
Nausea
Peritonitis
Prolapse
Stomach
Thoracic Cavity
Vomiting
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