The Hole in the Stomach. (24th October 2007)

• Record Type: Journal Article
• Authors: Bödeker, Hans; Leinung, Steffen; Wittenburg, Henning; Fischer, Julia; Schiefke, Ingolf; Teich, Niels
• Other Names: Evans James Academic Editor.
• Is Part Of: Diagnostic and therapeutic endoscopy. Volume 2008(2008)
• Publication Date: 2007-10-24
• Subjects: Endoscopy -- Periodicals; Endoscopie; Endoscopy; Endoscopy -- Periodicals; Electronic journals; Periodicals; 616.07545
• DOI: 10.1155/2008/257185
• Languages: English
• ISSNs: 1070-3608

Abstract

Abstract : A 57 year old woman was presented to the emergency department with upper abdominal pain and left sided chest discomfort. No cardiac or pulmonary cause could be determined and the patient underwent upper gastrointestinal endoscopy. Inversion of the scope to the fundus and subsequent fluoroscopy revealed a diaphragmatic hernia with a large herniation of the gastric fundus. Immediate laparotomy showed a 3 cm orifice of the diaphragm. The orifice was widened and a partial necrosis of the incarcerated fundus was resected. The patient recovered fully and was discharged 12 days after laparotomy.