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Respiratory Complications with Coincident Kyphoscoliosis and Type IV Hiatal Hernia
Author(s) -
Hutchinson Daniel,
Worku Sarah
Publication year - 2016
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.30.1_supplement.1042.1
Subject(s) - medicine , kyphoscoliosis , hiatal hernia , hernia , diaphragmatic hernia , lung , surgery , scoliosis , anatomy , radiology , disease , reflux
A Type IV hiatal hernia is a rare anatomical condition in which multiple abdominal organs herniate the diaphragm and reside in the thorax. Disorders of spinal curvature exacerbate the risk of a hiatal hernia and can dictate the defects associated with the hernia. In particular, dual presentation of kyphosis and scoliosis can augment thoracic volume and positioning of its respective contents creating complex compression of thoracic organs by herniated material. This often results in challenging and inoperable cases. This case report describes a cadaveric dissection of a large Type IV hiatal hernia in the setting of kyphoscoliosis. The extreme spinal deviations and lung tissue volume of the cadaver were analyzed to support the hypothesis that the patient's death was caused by pulmonary complications predominantly influenced by the presence of the hiatal hernia. Support or Funding Information Ross University School of Medicine 1Illusration of hiatal hernia placement within thoracic cavity2Comparsion of right and left lung tissue size ( Figure 1 and 2 respectively). Right lung volume was found to be 38.19% larger than the left lung volume.3Measurement of the cadaver's Kyphotic angle, determined to be 67.34 degrees (normal range is 20–40 degrees).4Measurement of the cadaver's Scoliotic angle, determined to be 35.24 degrees (normal range is <10 degrees).