Esophageal perforation due to paraesophageal hiatal hernia in a boy
Gazi Medical Journal, cilt.16, sa.2, ss.90-91, 2005 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 16 Sayı: 2
- Basım Tarihi: 2005
- Dergi Adı: Gazi Medical Journal
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.90-91
- Anahtar Kelimeler: Paraesophageal Hiatal Hernia, Thoracotomy, Esophageal Perforation, Gastric Ischemia
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
We report herein the case of a four-year-old boy with paraesophageal hiatal hernia who presented with shock. A laparotomy revealed that the stomach had prolapsed totally through the paraesophageal hiatal defect into the right chest, and had become volvulized and strangulated. The stomach had been dilated enormously by undigested sunflower seeds, resulting in ischemia and perforation of the gastro-esophageal junction. Subtotal gastric resection and transthoracic esophago-gastric anastomosis were performed. In this report, the pathogenesis of esophageal perforation and the surgical approach are discussed.