Unlabelled: A patient is described who presented with an intrathoracic stomach and spleen two weeks after aortic repair for an aortoduodenal fistula. At an urgent laparotomy the stomach was repositioned and the spleen removed. The patient recovered fully. The possible mechanism of this severe complication is discussed and relevant literature reviewed.
Keywords: Aortoduodenal fistula; Complication; Intrathoracic stomach; Intrathoracic spleen.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3104639 | PMC |
| http://dx.doi.org/10.4021/jocmr2010.04.293w | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Perioperative morbidity after primary hiatal hernia repair increases as hernia size increases.
Dis Esophagus
January 2025
Norton Thoracic Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
Background: Minimally invasive hiatal hernia (HH) repair is the gold standard for correcting mechanical defects of the crural diaphragm due to its safety and favorable clinical outcomes (i.e., relief of patient symptoms).
View Article and Find Full Text PDFMitigating Aspiration Risk With Awake Intubation: A Case of Intrathoracic Stomach.
Cureus
November 2024
Anesthesiology, Unidade Local de Saúde de Coimbra, Coimbra, PRT.
Hiatal hernias are common in the elderly and in most cases asymptomatic and no intervention is needed. Hiatal hernias can range from asymptomatic to an intrathoracic stomach, a rare but potentially life-threatening condition, characterized by the migration of the stomach into the thoracic cavity. Its need for urgent intervention presents a major concern for the anesthesiologist because it is associated with a high risk of aspiration.
View Article and Find Full Text PDFFatal Tension Gastrothorax: Two Case Reports.
Am J Forensic Med Pathol
December 2024
From the Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom.
Tension gastrothorax is a rare and potentially fatal complication of a diaphragmatic hernia, in which a massively dilated, intrathoracic stomach compresses the lungs and mediastinum, causing cardiorespiratory compromise, in a mechanism akin to tension pneumothorax. Although it is very rare, tension gastrothorax has been reported in the literature; however, such reports are almost exclusively restricted to its clinical presentation and treatment in emergency departments. To the best of our knowledge, no adult autopsy case reports of tension gastrothorax have been reported in the literature.
View Article and Find Full Text PDF[A woman with abdominal pain after anti-reflux surgery].
Ned Tijdschr Geneeskd
November 2024
Curaçao Medical Center, afd. Chirurgie, Willemstad, Curaçao.
A 28-year-old female presented with acute abdominal pain three months after Nissen fundoplication surgery. Imaging revealed a diaphragmatic hernia, with an intra-thoracal colon, stomach and spleen. This highlights the importance of considering (incarcerated) diaphragmatic hernia as a potential complication post-Nissen fundoplication and the necessity of prompt diagnosis and surgical management.
View Article and Find Full Text PDFInnovative minimally invasive gastric pull-up techniques in children: SILS and robot-assisted gastric pull-up.
Pediatr Surg Int
November 2024
Department of Pediatric Surgery, Ege University Faculty of Medicine, 35100, Bornova/Izmir, Turkey.
Aim: This study aims to explore the rationality, feasibility, safety, and effectiveness of single-incision laparoscopic gastric pull-up (SILS-GPU) and robot-assisted gastric pull-up (R-GPU) methods.
Methods: Hospital records of patients who underwent gastric pull-up with either SILS-GPU or R-GPU between May2016 and January 2024 were reviewed. Demographics, diagnosis, surgical techniques, and postoperative outcomes were evaluated.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!