title: The hole in the stomach.
abstract: A 57 year old woman was presented to the emergency department with upper abdominal pain and left sided chest discomfort. No cardiac or pulmonary cause could be determined and the patient underwent upper gastrointestinal endoscopy. Inversion of the scope to the fundus and subsequent fluoroscopy revealed a diaphragmatic hernia with a large herniation of the gastric fundus. Immediate laparotomy showed a 3 cm orifice of the diaphragm. The orifice was widened and a partial necrosis of the incarcerated fundus was resected. The patient recovered fully and was discharged 12 days after laparotomy.
authors.affiliation: Department of Internal Medicine II, University of Leipzig, 04103 Leipzig, Germany.
authors.forename: Hans
authors.initials: H
authors.lastname: Bödeker
authors.forename: Steffen
authors.initials: S
authors.lastname: Leinung
authors.forename: Henning
authors.initials: H
authors.lastname: Wittenburg
authors.forename: Julia
authors.initials: J
authors.lastname: Fischer
authors.forename: Ingolf
authors.initials: I
authors.lastname: Schiefke
authors.forename: Niels
authors.initials: N
authors.lastname: Teich