1/7. splenic rupture as a consequence of giant paraesophageal hernia.Elective surgical repair of "giant" paraesophageal hernias is recommended to prevent the potential complications of gastric volvulus, obstruction, and ischemic perforation. We report the unusual complication of splenic capsular laceration and hemorrhagic shock following forceful retching by a patient with an incarcerated paraesophageal hernia.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/7. Giant hiatal hernia presenting with stable angina pectoris and syncope--a case report.A 70-year-old woman with giant hiatal hernia presented with stable angina pectoris and three syncope attacks in the previous 3 months. Chest radiography showed marked cardiomegaly and an air-fluid level at the basal region of the heart. A mixed type large hiatal hernia that distorted the heart was detected in contrast-enhanced computed tomography and esophagogastroduodenography. Postprandial nonsustained ventricular tachycardia was present on 24-hour Holter ECG monitoring. The patient's symptoms were attributed to giant hiatal hernia and improved following surgery.- - - - - - - - - - ranking = 0.4keywords = giant (Clic here for more details about this article) |
3/7. Laparoscopic repair of giant paraesophageal hernias: an update for internists.Paraesophageal hernias are typically associated with symptoms and can sometimes lead to life-threatening complications. We recommend laparoscopic surgical repair for patients with symptomatic paraesophageal hernias. This article explains why and presents a general overview of the laparoscopic repair of paraesophageal hernias and its merits relative to open surgical repair.- - - - - - - - - - ranking = 0.8keywords = giant (Clic here for more details about this article) |
4/7. situs inversus totalis: giant hiatal hernia repair by laparoscopic Collis gastroplasty and Nissen fundoplication.We report the repair of a giant hiatal hernia by laparoscopic Collis gastroplasty and Nissen fundoplication in a patient with situs inversus totalis, highlighting the unique anatomic challenges in this case. The 52-year old female patient had Kartageners syndrome, a giant hiatal hernia, and a history of chronic severe gastroesophageal reflux disease with uncontrolled regurgitation. The laparoscopic procedure was accomplished with five ports placed in a mirror-image configuration, reversed from our standard positions. After visual confirmation of the complete reversal of the intraabdominal anatomy, we performed a modified Collis gastroplasty and Nissen fundoplication. Significant technical challenges were encountered intraoperatively. To the best of our knowledge, this report is the first of its kind in the literature. The use of advanced laparoscopic techniques is highly adaptable to unusual anatomy. Laparoscopic hiatal hernia surgery is feasible in patients with situs inversus.- - - - - - - - - - ranking = 1.2keywords = giant (Clic here for more details about this article) |
5/7. Dynamic electrocardiographic changes due to cardiac compression by a giant hiatal hernia.A 79-year-old woman was admitted due to chest pain with T wave inversion and anasarca. echocardiography demonstrated a mass compressing the heart and computed tomography revealed a giant hiatal hernia within the intrathoracic stomach located just behind the heart. After drainage of the gastric contents, the T wave inversion disappeared, but subsequent ST elevation in leads V1-V6 was noted. After surgical correction of the hiatal hernia, the ST segment elevation returned to a nearly normal level. The changes in the compressed heart induced by hiatal hernia may cause pericarditis resulting in electrocardiographic changes.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
6/7. The giant paraesophageal hernia: a particularly morbid condition of the esophageal hiatus.The giant paraesophageal hernia is an uncommon but particularly morbid disorder of the gastroesophageal hiatus that may have life-threatening complications. The authors present three cases of these hernias to illustrate the potential complications of true hernias of the gastroesophageal hiatus.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
7/7. Giant paraesophageal hernia in an asymptomatic old man. The case for misdiagnosing.We describe the case of an asymptomatic 66 year-old man with a giant paraesophageal hernia including colonic migration into the chest, responsible for the appearance of a bilateral anterior mediastinal mass on the chest radiograph. We would like to emphasise that this radiologic pattern could lead to misdiagnosing, due to the bilateral air-fluid level in the chest, close to the heart. Pericardial (effusion, cyst), bronchogenic (cyst), as well as esophageal (diverticula) diseases should be considered in the differential diagnosis, although the paucity of symptoms in our patient makes all of these syndromes unlikely to occur. It should also be emphasised that the esophagram can help differential diagnosis between mediastinic organs responsible for the pattern shown in the chest radiograph.- - - - - - - - - - ranking = 0.2keywords = giant (Clic here for more details about this article) |