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Perforated peptic duodenal ulcer in a paraesophageal hernia--a case report of a rare surgical emergency

Ekelund, Mikael LU ; Ribbe, Else LU ; Willner, Julian LU and Zilling, Thomas LU (2006) In BMC Surgery 6(1).
Abstract
BACKGROUND: Paraesophageal hernias are quite common and sometimes feared due to the risk of incarceration and strangulation of any herniated organ. The hereby reported combination of an incarcerated paraesophageal hernia containing a perforated peptic ulcer is extremely rare. CASE PRESENTATION: An elderly man with multiple medical conditions was admitted due to severe upper abdominal pain. The patient was found to have a paraesophageal hernia and underwent a laparotomy. In the hernia, a perforated benign peptic duodenal ulcer was found. The duodenal defect was over-sewn, the hernial defect was closed and the former hernial cavity was drained by a right-sided chest tube. The patient was discharged one month after surgery and was found to do... (More)
BACKGROUND: Paraesophageal hernias are quite common and sometimes feared due to the risk of incarceration and strangulation of any herniated organ. The hereby reported combination of an incarcerated paraesophageal hernia containing a perforated peptic ulcer is extremely rare. CASE PRESENTATION: An elderly man with multiple medical conditions was admitted due to severe upper abdominal pain. The patient was found to have a paraesophageal hernia and underwent a laparotomy. In the hernia, a perforated benign peptic duodenal ulcer was found. The duodenal defect was over-sewn, the hernial defect was closed and the former hernial cavity was drained by a right-sided chest tube. The patient was discharged one month after surgery and was found to do well at follow-up one month after discharge. CONCLUSION: This is the first report of a patient surviving the extremely rare and life-threatening combination of a perforated peptic duodenal ulcer in a paraesophageal hernia. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
BMC Surgery
volume
6
issue
1
article number
1
publisher
BioMed Central (BMC)
external identifiers
  • pmid:16438731
  • scopus:33644746538
ISSN
1471-2482
DOI
10.1186/1471-2482-6-1
language
English
LU publication?
yes
id
e6a0f348-8735-466f-8ebc-0901d7fe9870 (old id 1135532)
date added to LUP
2016-04-01 17:06:56
date last changed
2021-03-09 03:21:14
@article{e6a0f348-8735-466f-8ebc-0901d7fe9870,
  abstract     = {BACKGROUND: Paraesophageal hernias are quite common and sometimes feared due to the risk of incarceration and strangulation of any herniated organ. The hereby reported combination of an incarcerated paraesophageal hernia containing a perforated peptic ulcer is extremely rare. CASE PRESENTATION: An elderly man with multiple medical conditions was admitted due to severe upper abdominal pain. The patient was found to have a paraesophageal hernia and underwent a laparotomy. In the hernia, a perforated benign peptic duodenal ulcer was found. The duodenal defect was over-sewn, the hernial defect was closed and the former hernial cavity was drained by a right-sided chest tube. The patient was discharged one month after surgery and was found to do well at follow-up one month after discharge. CONCLUSION: This is the first report of a patient surviving the extremely rare and life-threatening combination of a perforated peptic duodenal ulcer in a paraesophageal hernia.},
  author       = {Ekelund, Mikael and Ribbe, Else and Willner, Julian and Zilling, Thomas},
  issn         = {1471-2482},
  language     = {eng},
  number       = {1},
  publisher    = {BioMed Central (BMC)},
  series       = {BMC Surgery},
  title        = {Perforated peptic duodenal ulcer in a paraesophageal hernia--a case report of a rare surgical emergency},
  url          = {http://dx.doi.org/10.1186/1471-2482-6-1},
  doi          = {10.1186/1471-2482-6-1},
  volume       = {6},
  year         = {2006},
}