Oesophageal hiatal hernia-induced hydropneumothorax.
The patient presented with acute and constant abdominal pain. He had had a lobectomy of the left lung three months before. On the 4th day in hospital the pain increased and he went into temporary shock. The next day a hydropneumothorax and incarcerated stomach were revealed by chest X-ray and computed tomography. He was transferred to the University Hospital immediately and underwent an operation. The diagnosis was an incarcerated para-oesophageal hernia with hydropneumothorax and perforation of the stomach. As a para-oesophageal hernia may be fatal, it is important to diagnose and treat it early.
Fukuda
T
T
Department of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan. toru-mie@pa2.so-net.or.jp#
Yokoi
Y
Y
Takiura
F
F
Watanabe
S
S
D015746:Abdominal Pain / Q000209:etiology*; D006551:Hernia, Hiatal / Q000150:complications*; D006801:Humans; D006872:Hydropneumothorax / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D008875:Middle Aged