title: Enough to bring a lump to the throat: two emergency presentations to the acute medical take.
abstract: An eighty nine year old woman was admitted with a two day history of abdominal pain and vomiting. Two months previously she had undergone a Hartmann's procedure following a sigmoid perforation secondary to diverticular disease. A hiatus hernia had been noted on a CT undertaken prior to her recent surgery.
authors.affiliation: Swindon Great Western Hospital, Swindon, Wilshire, UK. john.northfield@yahoo.com
authors.forename: J
authors.initials: J
authors.lastname: Northfield
authors.forename: A
authors.initials: A
authors.lastname: Beale
authors.forename: C
authors.initials: C
authors.lastname: Cannon
authors.forename: L
authors.initials: L
authors.lastname: Gonzalez
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D016638:Critical Illness / Q000628:therapy; D018450:Disease Progression; D004636:Emergency Service, Hospital; D004638:Emergency Treatment / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006551:Hernia, Hiatal / Q000000981:diagnostic imaging* / Q000401:mortality* / Q000601:surgery; D006801:Humans; D013902:Radiography, Thoracic / Q000379:methods; D018570:Risk Assessment; D012494:Sampling Studies; D012720:Severity of Illness Index; D015996:Survival Rate; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome