Intrathoracic drainage of a perforated prepyloric gastric ulcer with a type II paraoesophageal hernia
2008
Case of a Perforated Gastric Ulcer with a Type II Paraesophageal Hernia
Sample size: 1
publication
Evidence: low
Author Information
Author(s): Pol Robert A, Wiersma Hiske W, Zonneveld Bas JGL, Schattenkerk Marinus Eeftinck
Primary Institution: Deventer hospital
Conclusion
Intrathoracic perforation of gastric ulcers due to a type II hiatus hernia is extremely rare and can be a diagnostic and treatment challenge.
Supporting Evidence
- Type II paraesophageal hernias are uncommon, occurring in less than 5% of hiatal hernias.
- The patient presented with acute abdominal pain and was found to have a perforated gastric ulcer.
- The surgical procedure involved an omental patch repair and drainage of the intrathoracic collection.
Takeaway
A man had a hole in his stomach because of a rare type of hernia, but doctors were able to fix it and he got better.
Methodology
The patient underwent an emergency upper midline laparotomy and omental patch repair for the perforated ulcer.
Limitations
Only one case is reported, limiting generalizability.
Participant Demographics
61-year old Caucasian man with a history of peptic ulcer.
Digital Object Identifier (DOI)
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