Year 2019 / Volume 111 / Number 11
Letter
Bezoar in incarcerated and complicated hiatal hernia

888-889

DOI: 10.17235/reed.2019.6159/2019

Juan Manuel Suárez Grau, Antonio Gila Bohórquez, Julio Gómez Menchero,

Abstract
Introduction: the identification of a 10 cm bezoar in a hiatal hernia is unusual. Hiatal hernias are usually asymptomatic. When signs of strangulation are present the prognosis is unlucky if urgent surgical intervention is not performed. Although sometimes the prognosis is bad because of the advanced state of gastric ischemia. Case report: a 67-year-old female patient undergoing Nissen fundoplication with recurrence of hiatal hernia, volvulated and strangulated with giant bezoar inside the hhital hernia sac. Discussion: despite of poor results, surgical treatment in these cases must be urgent.
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References
1. Ford PM, Turner MJ. Intrathoracic bezoar visible on chest radiograph. Br J Radiol. 1984 Oct;57(682):929-32. DOI: 10.1259/0007-1285-57-682-929
2. Di Saverio S, Catena F, Coccolini F et al. Bizarre behaviour, bizarre intruder and bizarre bowel obstruction. BMJ Case Rep. 2010 Nov 12;2010. DOI: 10.1136/bcr.11.2009.2486
3. Díez Ares JÁ, Peris Tomás N, Estellés Vidagany N et al. Gastric
necrosis secondary to strangulated giant paraesophic hiatal hernia. Rev Esp
Enferm Dig. 2016 Aug;108(8):498-500.
4. Gonzalo MA, Almeida H, Güemes A. Hiatal herniation following total
1. Ford PM, Turner MJ. Intrathoracic bezoar visible on chest radiograph. Br J Radiol. 1984 Oct;57(682):929-32. DOI: 10.1259/0007-1285-57-682-929
2. Di Saverio S, Catena F, Coccolini F et al. Bizarre behaviour, bizarre intruder and bizarre bowel obstruction. BMJ Case Rep. 2010 Nov 12;2010. DOI: 10.1136/bcr.11.2009.2486
3. Díez Ares JÁ, Peris Tomás N, Estellés Vidagany N et al. Gastric necrosis secondary to strangulated giant paraesophic hiatal hernia. Rev Esp Enferm Dig. 2016 Aug;108(8):498-500.
4. Gonzalo MA, Almeida H, Güemes A. Hiatal herniation following total gastrectomy. Rev Esp Enferm Dig. 2016 Apr;108(4):234. doi:10.17235/reed.2016.4009/2015.
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Suárez Grau J, Gila Bohórquez A, Gómez Menchero J. Bezoar in incarcerated and complicated hiatal hernia. 6159/2019


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Publication history

Received: 03/01/2019

Accepted: 17/02/2019

Online First: 02/10/2019

Published: 07/11/2019

Article Online First time: 272 days

Article editing time: 308 days


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