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Hiatal hernia complicated by gastric ulceration and perforation

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Abstract

The incidence of gastric ulcer in hiatal hernia is highest in para-esophageal hernia and in chronic incarcerated hernia in older patients. Two patients with chronic incarcerated sliding hernias complicated by unrecognized gastric ulcération and perforation are described. One patient developed a subhepatic and mediastinal abscess; the other developed a gastropleural fistula. The incidence, clinical and roentgen findings, complications, and treatment of gastric ulcers in hiatal hernia are discussed.

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References

  1. Viard H, Klepping C, Barault JF, Cayot M: Les ulceres du collet des hernies hiatales.Chirurgie 103:518–531, 1977

    PubMed  Google Scholar 

  2. Windsor CWO, Collis JL: Anaemia and hiatus hernia: experience in 450 patients.Thorax 22:73–78, 1967

    PubMed  Google Scholar 

  3. Kleitsch WP: Catastrophic complications of hiatus hernia.Arch Surg 65:665–672, 1952

    Google Scholar 

  4. Bell JW: Chronically incarcerated hiatus hernia.Arch Surg 104:831–835, 1972

    PubMed  Google Scholar 

  5. Blades B, Hall ER: The consequences of neglected hiatal hernia.Ann Surg 143:822–830, 1956

    PubMed  Google Scholar 

  6. Hill LD: Incarcerated para-esophageal hernia: a surgical emergency.Am J Surg 126:286–290, 1973

    PubMed  Google Scholar 

  7. MacArthur AM, Wright JEC: Complications of intrathoracic gastric ulcer associated with hiatus hernia: a description of five cases.Br J Surg 56:161–164, 1969

    PubMed  Google Scholar 

  8. Sprafka JL, Azad M, Baronofsky ID: Fate of esophageal hiatus hernia: a clinical and experimental study.Surgery 136:519–524, 1974

    Google Scholar 

  9. Trusdale PE: Gastric ulcer associated with diaphragmatic hernia.N Engl J Med 207:385–390, 1932

    Google Scholar 

  10. Davidson JS, Edin MB: Gastric ulcer in association with hiatal hernia.Lancet 2:729–731, 1978

    Google Scholar 

  11. Allison PR, Johnstone AS: The oesophagus lined with gastric mucous membrane.Thorax 8:87, 1953

    PubMed  Google Scholar 

  12. Barrett NR: Hiatus hernia: A review of some controversial points.Br J Surg 42:231–243, 1954

    PubMed  Google Scholar 

  13. Frank LW, Hamilton JE: Diaphragmatic hernia with penetrating ulcer of herniated stomach: a case corrected by surgery.J Thorac Surg 11:219–226, 1941

    Google Scholar 

  14. DiBonito L, Bianchi C: Una rara complicazione dell'ernia iatale: perforazione di un'ulcera dello stomaco intratoracico nel ventricolo sinistro.Minewa Chir 33:667–669, 1978

    Google Scholar 

  15. Ochsner SF, Ochsner A: Hiatal hernia with gastric occlusion and intrathoracic perforation of gastric ulcer on the greater curvature.Am J Surg 96:562–564, 1958

    PubMed  Google Scholar 

  16. Markowitz AM, Herter FP: Gastro-pleural fistula as a complication of esophageal hiatal hernia.Ann Surg 152:129–134, 1960

    PubMed  Google Scholar 

  17. Poppe JK, Rosenblatt MS: Strangulated and perforated para hiatal hernia repaired with recovery.West J Surg 70:63–65, 1962

    PubMed  Google Scholar 

  18. Effler DB, Ballinger CS: Complications and surgical treatment of hiatus hernia and short esophagus.J Thorac Surg 22:235–245, 1951

    PubMed  Google Scholar 

  19. Caspi G, Delignieres S, Guerre J: Une complication exceptionnelle de la hernie hiatale: La rupture dans le pericarde.Sem Hop Paris 53:31–32, 1977

    Google Scholar 

  20. Stillwell JA: Intrathoracic perforation of hiatus hernia.Br Med J 2:605–606, 1978

    Google Scholar 

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Meredith, H.C., Seymour, E.Q. & Vujic, I. Hiatal hernia complicated by gastric ulceration and perforation. Gastrointest Radiol 5, 229–231 (1980). https://doi.org/10.1007/BF01888635

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  • DOI: https://doi.org/10.1007/BF01888635

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