title: Splenic Rupture Caused by Giant Paraesophageal Hernia.
abstract: Splenic hemorrhage secondary to retching and vomiting from incarceration of paraesophageal hernia is a rare but life-threatening complication. Clinicians need to be aware of this complication in the event of sudden unexplained hemodynamic instability. Surgical intervention for the hernia is best performed as soon as possible once the patient is stabilized, before complications such as perforation or further bleeding occur. We report two cases of splenic rupture and intraperitoneal bleeding resulting from traction of the gastrosplenic pedicle associated with retching and vomiting from a giant paraesophageal hernia.
authors.affiliation: Department of General Surgery, Norfolk and Norwich University Hospital, Norwich, United Kingdom. Electronic address: p.serralheiro@gmail.com.
authors.forename: Pedro
authors.initials: P
authors.lastname: Serralheiro
authors.affiliation: Department of General Surgery, Norfolk and Norwich University Hospital, Norwich, United Kingdom.
authors.forename: Bhaskar
authors.initials: B
authors.lastname: Kumar
authors.affiliation: Department of General Surgery, Norfolk and Norwich University Hospital, Norwich, United Kingdom.
authors.forename: Edward
authors.initials: E
authors.lastname: Cheong
mesh_terms: D000368:Aged; D005260:Female; D006551:Hernia, Hiatal / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D013161:Splenic Rupture / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery