title: Oesophageal hiatal hernia-induced hydropneumothorax.
abstract: 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.
authors.affiliation: Department of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan. toru-mie@pa2.so-net.or.jp#
authors.forename: T
authors.initials: T
authors.lastname: Fukuda
authors.forename: Y
authors.initials: Y
authors.lastname: Yokoi
authors.forename: F
authors.initials: F
authors.lastname: Takiura
authors.forename: S
authors.initials: S
authors.lastname: Watanabe
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D006551:Hernia, Hiatal / Q000150:complications*; D006801:Humans; D006872:Hydropneumothorax / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D008875:Middle Aged