INTRODUCTION: We describe a case of acute hiatal hernia during chemotherapy, in a female patient previously treated with gastrectomy. CASE PRESENTATION: After gastric resection, the patient underwent chemotherapy, developing important emetic symptoms. A radiograph of the abdomen was performed because of acute epigastrial pain and it showed a marked left diaphragm elevation.A CT scan carried out 24 hours later identified an occlusion with herniation in the left hemi thorax. Subsequent surgical investigation resulted in a diagnosis of hiatal hernia with volvulus. CONCLUSIONS: This case represents a rare, late complication occurring after gastrectomy.
INTRODUCTION: We describe a case of acute hiatal hernia during chemotherapy, in a female patient previously treated with gastrectomy. CASE PRESENTATION: After gastric resection, the patient underwent chemotherapy, developing important emetic symptoms. A radiograph of the abdomen was performed because of acute epigastrial pain and it showed a marked left diaphragm elevation.A CT scan carried out 24 hours later identified an occlusion with herniation in the left hemi thorax. Subsequent surgical investigation resulted in a diagnosis of hiatal hernia with volvulus. CONCLUSIONS: This case represents a rare, late complication occurring after gastrectomy.
Authors: Keun Won Ryu; Young-Woo Kim; Jun Ho Lee; Byung-Ho Nam; Myeong-Cherl Kook; Il Ju Choi; Jae-Moon Bae Journal: Ann Surg Oncol Date: 2008-03-14 Impact factor: 5.344
Authors: Jamile Rizzardi Lava; Guilherme A Hettwer; Cleiton Jonei Reginatto; Guilherme Galoro; Carolina T Gehlen; Maria Cm Subtil; Vitor E Valenti; Luiz Carlos Deabreu; Carlos Bandeira de Mello Monteiro; Márcio Petenusso Journal: Int Arch Med Date: 2012-10-30