Paraesophageal hernia in an elderly woman.
We present a case of an elderly woman with a paraesophageal hernia. This is an uncommon type of hiatal hernia and may result in a surgical emergency if incarceration, obstruction, or strangulation is present. Our patient presented with a clinical picture consistent with myocardial ischemia. We discuss the differential diagnosis, the pathophysiology, complications, diagnostic studies, and treatment of this disease.
Nochimson
G
G
Department of Surgery, University of Florida, Health Science Center-Jacksonville 32209.
Harwood-Nuss
A L
AL
D000368:Aged; D002637:Chest Pain / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D004947:Esophagus; D005260:Female; D006551:Hernia, Hiatal / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D017202:Myocardial Ischemia / Q000175:diagnosis