Giant hiatal hernia with intrathoracic spleen: A case report
Hiatal hernia is a frequent pathology in the population; however, the most frequent hiatal hernia is type I, which accounts for up to 95% incidence, types II, III, and IV being less frequent and representing between 5% and 15%, and even less common are giant hernias. The definition of the giant hern...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323009391 |
| _version_ | 1797357770423402496 |
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| author | Sofia Zanabria Mancilla, MD Verónica Andrea del Pilar Barón Hernández, MD José Sebastián Sotelo Cuéllar, MD Rafael Figueroa Vázquez, MD María Isabel Jiménez Martínez, MD Amaninali Delgado García, MD Angie Ramírez Bustos, MD Guliana Pierina Martínez Guaicha, MD Joana Andrea Rebolledo Casas, MD Hugo Alcaide Cruz, MD Silvia Patricia Ortega Moreno, MD Montserrat Martínez Medina, MD Roberto Carlos Villanueva Escobar, MD |
| author_facet | Sofia Zanabria Mancilla, MD Verónica Andrea del Pilar Barón Hernández, MD José Sebastián Sotelo Cuéllar, MD Rafael Figueroa Vázquez, MD María Isabel Jiménez Martínez, MD Amaninali Delgado García, MD Angie Ramírez Bustos, MD Guliana Pierina Martínez Guaicha, MD Joana Andrea Rebolledo Casas, MD Hugo Alcaide Cruz, MD Silvia Patricia Ortega Moreno, MD Montserrat Martínez Medina, MD Roberto Carlos Villanueva Escobar, MD |
| author_sort | Sofia Zanabria Mancilla, MD |
| collection | DOAJ |
| description | Hiatal hernia is a frequent pathology in the population; however, the most frequent hiatal hernia is type I, which accounts for up to 95% incidence, types II, III, and IV being less frequent and representing between 5% and 15%, and even less common are giant hernias. The definition of the giant hernia is still not exact in the literature; some authors define giant or massive hiatal hernia as one in which the hernia occupies more than 30% of the stomach and/or passes from other abdominal structures to the thorax. We describe the case of a patient with gastrointestinal symptomology without response to a proton pump inhibitor, with base exacerbation that required imaging studies, showing a large hernia defect passing to the thorax from abdominal organs (stomach, spleen, mesenteric fat), as well as alteration of the gastric and spleen axis with ascent in pancreatic body and tail, which corresponds to a giant hiatal hernia. Said pathology is very infrequent, with recurrences and postoperative complications. Our patient recovered from the surgical procedure with therapeutic success. |
| first_indexed | 2024-03-08T14:49:56Z |
| format | Article |
| id | doaj.art-4a40310a37374fa281e45de151509435 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-08T14:49:56Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-4a40310a37374fa281e45de1515094352024-01-11T04:31:11ZengElsevierRadiology Case Reports1930-04332024-03-0119312221227Giant hiatal hernia with intrathoracic spleen: A case reportSofia Zanabria Mancilla, MD0Verónica Andrea del Pilar Barón Hernández, MD1José Sebastián Sotelo Cuéllar, MD2Rafael Figueroa Vázquez, MD3María Isabel Jiménez Martínez, MD4Amaninali Delgado García, MD5Angie Ramírez Bustos, MD6Guliana Pierina Martínez Guaicha, MD7Joana Andrea Rebolledo Casas, MD8Hugo Alcaide Cruz, MD9Silvia Patricia Ortega Moreno, MD10Montserrat Martínez Medina, MD11Roberto Carlos Villanueva Escobar, MD12Universidad Justo Sierra, CP 07340, Ciudad de MéxicoHospital Regional 1° de Octubre del ISSSTE, Universidad Nacional Autónoma de México, CP 07300, Ciudad de MéxicoHospital Regional 1° de Octubre del ISSSTE, Universidad Nacional Autónoma de México, CP 07300, Ciudad de México; Corresponding author.Hospital Regional 1° de Octubre del ISSSTE, Universidad Nacional Autónoma de México, CP 07300, Ciudad de MéxicoHospital Regional 1° de Octubre del ISSSTE, Universidad Nacional Autónoma de México, CP 07300, Ciudad de MéxicoCentro Médico ISSEMyM Ecatepec, Universidad Autónoma del Estado de México, CP 55000Hospital Regional “Gral. Ignacio Zaragoza”, Universidad Nacional Autónoma de México, CP 09100, Ciudad de MéxicoHospital Regional 1° de Octubre del ISSSTE, Universidad Nacional Autónoma de México, CP 07300, Ciudad de MéxicoHospital Regional 1° de Octubre del ISSSTE, Universidad Nacional Autónoma de México, CP 07300, Ciudad de MéxicoHospital Regional 1° de Octubre del ISSSTE, Universidad Nacional Autónoma de México, CP 07300, Ciudad de MéxicoHospital Regional 1° de Octubre del ISSSTE, Universidad Nacional Autónoma de México, CP 07300, Ciudad de MéxicoHospital General ''Doctor Gaudencio González Garza'' del Centro Médico Nacional la Raza, Universidad Nacional Autónoma de México, CP 02990, Ciudad de MéxicoInstituto politécnico Nacional, CP 50017, Ciudad de MéxicoHiatal hernia is a frequent pathology in the population; however, the most frequent hiatal hernia is type I, which accounts for up to 95% incidence, types II, III, and IV being less frequent and representing between 5% and 15%, and even less common are giant hernias. The definition of the giant hernia is still not exact in the literature; some authors define giant or massive hiatal hernia as one in which the hernia occupies more than 30% of the stomach and/or passes from other abdominal structures to the thorax. We describe the case of a patient with gastrointestinal symptomology without response to a proton pump inhibitor, with base exacerbation that required imaging studies, showing a large hernia defect passing to the thorax from abdominal organs (stomach, spleen, mesenteric fat), as well as alteration of the gastric and spleen axis with ascent in pancreatic body and tail, which corresponds to a giant hiatal hernia. Said pathology is very infrequent, with recurrences and postoperative complications. Our patient recovered from the surgical procedure with therapeutic success.http://www.sciencedirect.com/science/article/pii/S1930043323009391Esophageal hiatusHiatal herniaParaesophageal herniaTomographyFundoplication |
| spellingShingle | Sofia Zanabria Mancilla, MD Verónica Andrea del Pilar Barón Hernández, MD José Sebastián Sotelo Cuéllar, MD Rafael Figueroa Vázquez, MD María Isabel Jiménez Martínez, MD Amaninali Delgado García, MD Angie Ramírez Bustos, MD Guliana Pierina Martínez Guaicha, MD Joana Andrea Rebolledo Casas, MD Hugo Alcaide Cruz, MD Silvia Patricia Ortega Moreno, MD Montserrat Martínez Medina, MD Roberto Carlos Villanueva Escobar, MD Giant hiatal hernia with intrathoracic spleen: A case report Radiology Case Reports Esophageal hiatus Hiatal hernia Paraesophageal hernia Tomography Fundoplication |
| title | Giant hiatal hernia with intrathoracic spleen: A case report |
| title_full | Giant hiatal hernia with intrathoracic spleen: A case report |
| title_fullStr | Giant hiatal hernia with intrathoracic spleen: A case report |
| title_full_unstemmed | Giant hiatal hernia with intrathoracic spleen: A case report |
| title_short | Giant hiatal hernia with intrathoracic spleen: A case report |
| title_sort | giant hiatal hernia with intrathoracic spleen a case report |
| topic | Esophageal hiatus Hiatal hernia Paraesophageal hernia Tomography Fundoplication |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323009391 |
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