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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 PDFA multicountry evaluation of the Xpert MTB/RIF assay for the diagnosis of intrathoracic tuberculosis in children using alternative specimens (nasopharyngeal aspirate and stool): A prospective cohort study conducted in Madagascar, Ivory Coast and Cameroon (TB Kids project).
Int J Infect Dis
December 2024
Institut Pasteur, Paris, France.
Context: Tuberculosis (TB) diagnosis in children remains challenging due to the paucibacillary nature of specimens and the difficulty in obtaining suitable samples. The use of alternative samples like nasopharyngeal aspirate (NPA) and stools, alongside Xpert MTB/RIF testing, offers promising improvements.
Objective: This study aimed to assess the diagnostic performance of the Xpert MTB/RIF test on NPA and stool samples for detecting intrathoracic TB in children from Madagascar, Cameroon, and Ivory Coast.
Mitigating 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.
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