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Giant hiatal hernia with intrathoracic spleen: A case report.
Radiol Case Rep
March 2024
Instituto politécnico Nacional, CP 50017, Ciudad de México.
Hiatal hernia is a frequent pathology in the population; however, the most frequent hiatal hernia is type I, which accounts for up to 95% incidence, types II, III, and IV being less frequent and representing between 5% and 15%, and even less common are giant hernias. The definition of the giant hernia is still not exact in the literature; some authors define giant or massive hiatal hernia as one in which the hernia occupies more than 30% of the stomach and/or passes from other abdominal structures to the thorax. We describe the case of a patient with gastrointestinal symptomology without response to a proton pump inhibitor, with base exacerbation that required imaging studies, showing a large hernia defect passing to the thorax from abdominal organs (stomach, spleen, mesenteric fat), as well as alteration of the gastric and spleen axis with ascent in pancreatic body and tail, which corresponds to a giant hiatal hernia.
View Article and Find Full Text PDFMesoproterozoic surface oxygenation accompanied major sedimentary manganese deposition at 1.4 and 1.1 Ga.
Geobiology
January 2023
CSIRO Mineral Resources, Australian Resources Research Centre, Kensington, Western Australia, Australia.
Manganese (Mn) oxidation in marine environments requires oxygen (O ) or other reactive oxygen species in the water column, and widespread Mn oxide deposition in ancient sedimentary rocks has long been used as a proxy for oxidation. The oxygenation of Earth's atmosphere and oceans across the Archean-Proterozoic boundary are associated with massive Mn deposits, whereas the interval from 1.8-1.
View Article and Find Full Text PDFMinding the Gap: Clinical Manifestations of a Rare Type IV Hiatal Hernia.
Cureus
July 2020
Radiology, University of Texas Medical Branch, Galveston, USA.
Hiatal hernias are classified according to the increasing severity of protruding intra-abdominal viscera through the esophageal hiatus (types I-IV). Herein is the case of an elderly patient presenting with recent-onset dyspnea, postprandial gastroesophageal reflux, and hypoxemia. Imaging revealed a rare type IV hiatal hernia implicating the stomach and part of the pancreas.
View Article and Find Full Text PDFPerforation of gastric volvulus within a giant hiatus hernia secondary to alendronate: A rare complication of bisphosphonate use.
Int J Surg Case Rep
June 2020
Department of Surgery, Redcliffe Hospital, Anzac Avenue, Redcliffe, QLD, Australia.
Introduction: Bisphosphonates are commonly used in the treatment of metabolic bone disease. However, they are associated with gastrointestinal side effects including acid reflux, mucosal erosion, and oesophageal stricture. We present a rare case of alendronate causing perforated gastric volvulus in a patient with giant hiatus hernia.
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