title: [Acute abdomen due to a strangulated and perforated para-esophageal hernia. A case report].
abstract: Para-oesophageal hiatus hernia, a condition in which the fundus and part of the body of the stomach wrapped in a peritoneal sac herniate into the mediastinum, is a relatively uncommon entity. It tends to grow progressively and may become so large as to lead to symptoms of intrathoracic organ compression. In some exceptional cases, the entire stomach together with other abdominal viscera might herniate through the hiatus into the thorax. Paraesophageal hiatus hernias are characterised clinically by vague symptomatology, absent gastro-oesophageal reflux, and possible onset of gastric volvulus, generally without consequent incarceration of the portion of the herniated organ. Such an event is uncommon but dangerous and life-threatening. These cases often require resection of the incarcerated viscera, followed by hiatoplasty and Nissen fundoplication. The authors report on the case of a patient presenting with acute abdomen as a result of incarcerated and perforated para-oesophageal hiatus hernia.
authors.affiliation: Divisione di Chirurgia Generale, Ospedale S. Maria dei Battuti, Conegliano Treviso.
authors.forename: Michele
authors.initials: M
authors.lastname: Schiano di Visconte
authors.forename: Stefano
authors.initials: S
authors.lastname: Barbaresco
authors.forename: Paolo
authors.initials: P
authors.lastname: Burelli
authors.forename: Danilo
authors.initials: D
authors.lastname: Da Ros
authors.forename: Raimondo
authors.initials: R
authors.lastname: Di Bella
authors.forename: Claudio
authors.initials: C
authors.lastname: Lombardo
authors.forename: Salvatore
authors.initials: S
authors.lastname: Salemi
authors.forename: Natalino
authors.initials: N
authors.lastname: Bedin
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis / Q000209:etiology*; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006551:Hernia, Hiatal / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D013902:Radiography, Thoracic; D013997:Time Factors