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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC459708PMC
http://dx.doi.org/10.1136/thx.38.12.959DOI Listing

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Article Synopsis
  • Acute pericarditis can be life-threatening and is not always easy to diagnose, while hiatal hernia is often asymptomatic but can lead to serious complications if advanced.
  • A 74-year-old woman presented with chest pain and was initially treated for pneumonia but later diagnosed with a large hiatal hernia and purulent pericarditis after imaging tests.
  • During surgery, doctors discovered a fistula between the heart and colon, leading to severe septic shock and the patient's death shortly after the operation, underscoring the need for collaborative medical approaches in complex cases.
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Spontaneous Mediastinal Gastric Perforation in Hiatal Hernia with Difficult Surgical Technique Selection: A Case Report.

Yonago Acta Med

August 2024

Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan.

Emergency surgery for a hiatal hernia (HH) is uncommon. However, mediastinal gastric perforation may occasionally present as the initial symptom of HH and demonstrate high mortality rates. Managing mediastinal gastric perforation in HH has no established standard surgical technique, and the selection of surgical techniques may be challenging.

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Traumatic pericardial rupture with secondary cardiac herniation in a dog.

J Vet Emerg Crit Care (San Antonio)

August 2024

Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts, USA.

Objective: To describe the unique finding and treatment of a dog with cardiac herniation due to traumatic pericardial rupture.

Case Summary: A 6.5-year-old entire male Yorkshire Terrier was presented for further management after being hit by a car.

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Internal mammary artery perforator flap for repair of an upper thoracic tracheo-oesophageal fistula.

Ann Chir Plast Esthet

July 2024

Department of Plastic and Reconstructive Surgery, Institut Universitaire Locomoteur et du Sport, Pasteur 2 Hospital, University Côte d'Azur, Nice, France. Electronic address:

Tracheoesophageal fistulas (TOF) following esophagectomy for esophageal cancer are rare but potentially fatal. There is no consensus on treatment between stenting and surgical repair, although the latter is associated with better distant survival. In surgical repair, the interposition of a flap improves healing by providing well-vascularized tissue and reinforcing the repair zone.

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