title: [Haemorrhagic complications of diaphragmatic hernias. 38 cases (author's transl)].
abstract: In this retrospective study two-thirds of 38 haemorrhagic diaphragmatic hernias presented as overt bleeding and one-third as anaemia. Fiberoscopy was of paramount importance for locating the bleeding lesion, which was superficial in 75% of the cases and lied in the neck of the hernia as often as in the lower oesophagus. The pathogenic mechanisms were varied and included gastro-oesophageal reflux and purely mechanical phenomena. Thirty-five of these patients were operated upon, including 3 emergencies. The surgical procedure adopted was invariably conservative and aimed at reducing the hernia and at preventing the reflux; it had remarkable and lasting haemostatic effects.
mesh_terms: D000740:Anemia / Q000209:etiology; D004935:Esophageal Diseases / Q000209:etiology*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006470:Hemorrhage / Q000209:etiology*; D006548:Hernia, Diaphragmatic / Q000150:complications*; D006551:Hernia, Hiatal / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged
vernacular_title: Les complications hémorragiques des hernies hiatales. 38 observations.