title: Splenic rupture as a consequence of giant paraesophageal hernia.
abstract: Elective surgical repair of "giant" paraesophageal hernias is recommended to prevent the potential complications of gastric volvulus, obstruction, and ischemic perforation. We report the unusual complication of splenic capsular laceration and hemorrhagic shock following forceful retching by a patient with an incarcerated paraesophageal hernia.
authors.affiliation: Division of General Thoracic Surgery, Allegheny General Hospital, Pittsburgh, Pennsylvania 15212, USA.
authors.forename: M F
authors.initials: MF
authors.lastname: Szwerc
authors.forename: R J
authors.initials: RJ
authors.lastname: Landreneau
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006551:Hernia, Hiatal / Q000150:complications*; D006801:Humans; D008297:Male; D012771:Shock, Hemorrhagic / Q000209:etiology; D013161:Splenic Rupture / Q000209:etiology*