[Intrathoracic perforation of stomach ulcer in a massive hiatal hernia].
A case of intrathoracic perforation of a chronic gastric ulcer in a hiatus hernia is presented. A 67-year-old woman had suffered from interscapular pain and epigastric discomfort following large meals for four years. During the week before admission, the epigastric and interscapular pain increased, reaching a crescendo in the 24 hours before the patient's arrival in the emergency room. Chest and abdominal x-ray showed free gas and a large hiatus hernia with an intrathoracic stomach. At laparotomy, the stomach was gently returned to the abdominal cavity, and a perforated chronic gastric ulcer was found on the greater curvature. The ulcer was excised, and the diaphragmatic crura were approximated. Apart from wound dehiscence, the postoperative course was uneventful.
Rahr
H B
HB
Kirurgisk gastroenterologisk afdeling A og røntgenafdelingen Aalborg Sygehus.
Grønlund
J
J
Johnsen
F M
FM
D000368:Aged; D005260:Female; D006551:Hernia, Hiatal / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D010439:Peptic Ulcer Perforation / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D013276:Stomach Ulcer / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D013909:Thorax
Intratorakal perforation af ventrikelulcus i et stort hiatushernie.