Limits...
The hole in the stomach.

Bödeker H, Leinung S, Wittenburg H, Fischer J, Schiefke I, Teich N - Diagn Ther Endosc (2008)

Bottom Line: Immediate laparotomy showed a 3 cm orifice of the diaphragm.The orifice was widened and a partial necrosis of the incarcerated fundus was resected.The patient recovered fully and was discharged 12 days after laparotomy.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine II, University of Leipzig, 04103 Leipzig, Germany.

ABSTRACT
A 57 year old woman was presented to the emergency department with upper abdominal pain and left sided chest discomfort. No cardiac or pulmonary cause could be determined and the patient underwent upper gastrointestinal endoscopy. Inversion of the scope to the fundus and subsequent fluoroscopy revealed a diaphragmatic hernia with a large herniation of the gastric fundus. Immediate laparotomy showed a 3 cm orifice of the diaphragm. The orifice was widened and a partial necrosis of the incarcerated fundus was resected. The patient recovered fully and was discharged 12 days after laparotomy.

No MeSH data available.


Related in: MedlinePlus

Upper gastrointestinal endoscopy: inversion view into the gastric fundus.
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Related In: Results  -  Collection


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fig1: Upper gastrointestinal endoscopy: inversion view into the gastric fundus.

Mentions: A 57-year-old woman (180 cm, 60 kg) was presented to the emergency department with upper abdominal pain and left-sided chest discomfort for a couple of days. In addition, she reported of nausea. Upon physical examination, percussion sounds over the left lower thorax were a bit dull and cervical lymph nodes were palpable with a size of up to 1 cm. The abdomen was generally tender without signs of peritonitis; bowel sounds were normal. The ECG showed no abnormalities. Routine laboratory tests revealed mild leucocytosis and a slightly elevated C-reactive protein level. Troponin, myoglobine, and creatine kinase levels were within normal limits. An upper gastrointestinal endoscopy was performed. Whereas the oesophagus, the lower stomach, and the duodenum werewithout abnormalities, a small hole in the fundus was visible after inversion of the scope (Figure 1).


The hole in the stomach.

Bödeker H, Leinung S, Wittenburg H, Fischer J, Schiefke I, Teich N - Diagn Ther Endosc (2008)

Upper gastrointestinal endoscopy: inversion view into the gastric fundus.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2239218&req=5

fig1: Upper gastrointestinal endoscopy: inversion view into the gastric fundus.
Mentions: A 57-year-old woman (180 cm, 60 kg) was presented to the emergency department with upper abdominal pain and left-sided chest discomfort for a couple of days. In addition, she reported of nausea. Upon physical examination, percussion sounds over the left lower thorax were a bit dull and cervical lymph nodes were palpable with a size of up to 1 cm. The abdomen was generally tender without signs of peritonitis; bowel sounds were normal. The ECG showed no abnormalities. Routine laboratory tests revealed mild leucocytosis and a slightly elevated C-reactive protein level. Troponin, myoglobine, and creatine kinase levels were within normal limits. An upper gastrointestinal endoscopy was performed. Whereas the oesophagus, the lower stomach, and the duodenum werewithout abnormalities, a small hole in the fundus was visible after inversion of the scope (Figure 1).

Bottom Line: Immediate laparotomy showed a 3 cm orifice of the diaphragm.The orifice was widened and a partial necrosis of the incarcerated fundus was resected.The patient recovered fully and was discharged 12 days after laparotomy.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine II, University of Leipzig, 04103 Leipzig, Germany.

ABSTRACT
A 57 year old woman was presented to the emergency department with upper abdominal pain and left sided chest discomfort. No cardiac or pulmonary cause could be determined and the patient underwent upper gastrointestinal endoscopy. Inversion of the scope to the fundus and subsequent fluoroscopy revealed a diaphragmatic hernia with a large herniation of the gastric fundus. Immediate laparotomy showed a 3 cm orifice of the diaphragm. The orifice was widened and a partial necrosis of the incarcerated fundus was resected. The patient recovered fully and was discharged 12 days after laparotomy.

No MeSH data available.


Related in: MedlinePlus