Open AccessTerminal ileum gangrene secondary to a type IV paraesophageal hernia
Author(s) -
Ching Tsai Hsu,
PoJen Hsiao,
Chih-Chien Chiu,
Jenq Shyong Chan,
Yee Fung Lin,
Yuan Hung Lo,
Chia Jen Hsiao
Publication year - 2016
Publication title -
world journal of gastroenterology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v22.i8.2642
Subject(s) - medicine , epigastric pain , laparotomy , hernia , hiatal hernia , thoracic cavity , surgery , abdominal pain , ileum , chest pain , general surgery , vomiting , disease , reflux
Type IV paraesophageal hernia (PEH) is very rare, and is characterized by the intrathoracic herniation of the abdominal viscera other than the stomach into the chest. We describe a 78-year-old woman who presented at our emergency department because of epigastric pain that she had experienced over the past 24 h. On the day after admission, her pain became severe and was accompanied by right chest pain and dyspnea. Chest radiography revealed an intrathoracic intestinal gas bubble occupying the right lower lung field. Emergency explorative laparotomy identified a type IV PEH with herniation of only the terminal ileum through a hiatal defect into the right thoracic cavity. In this report, we also present a review of similar cases in the literature published between 1980 and 2015 in PubMed. There were four published cases of small bowel herniation into the thoracic cavity during this period. Our patient represents a rare case of an individual diagnosed with type IV PEH with incarceration of only the terminal ileum.