Hiatal hernia complicated by gastric ulceration and perforation.
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 ulceration 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.
D000208:Acute Disease; D000368:Aged; D005260:Female; D006548:Hernia, Diaphragmatic / Q000150:complications*; D006551:Hernia, Hiatal / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D010439:Peptic Ulcer Perforation / Q000150:complications* / Q000175:diagnosis; D013276:Stomach Ulcer / Q000150:complications* / Q000175:diagnosis