Enough to Bring a Lump to the Throat: Two Emergency Presentations to the Acute Medical Take

Enough to Bring a Lump to the Throat: Two Emergency Presentations to the Acute Medical Take

Case number 1

An eighty nine year old woman was admitted with a two day history of abdominal pain and vomiting. Two months previously she had undergone a Hartmann’s procedure following a sigmoid perforation secondary to diverticular disease. A hiatus hernia had been noted on a CT undertaken prior to her recent surgery (Figure 1).

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References

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  4. George D, Pappas VA, Panoutsopoulos A, et al. Struggling with a gastric Volvulus Secondary to Type IV hiatal Hernia. Case Reports in Medicine 2010; 257497. Epub Oct 25 ahead of print.
  5. Maganty K, Smith R. Cameron Lesions: Unusual Cause of Gastrointestinal Bleeding and Anaemia. Digestion 2008; 77: 214–7.
  6. Trainor D, Duffy M, Kennedy, et al. Gastric Perforation secondary to incarcerated hiatus hernia: an important differential in the diagnosis of central crushing chest pain. Emergency Medical Journal 2007; 24(8): 603–4.
  7. Watson DI. Evolution and development of surgery for large paraoesophageal hiatus hernia. World Journal Surgery 2011. Epub March 5 ahead of print.
  8. Stylopoulos N, Gazelle GS, Ratner DW, et al. Paraoesophageal hernias: operation or observation? Annals Surgery 2002; 236: 492–501.
  9. Gupta A, Chang D, Steele KE, et al. Looking beyond age and co-morbidities as predictors of outcomes in paraoesophageal hernia repair. Journal of Gastrointestinal Surgery 2008; 12: 2119–34.

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Enough to Bring a Lump to the Throat: Two Emergency Presentations to the Acute Medical Take

12th March 2016
PMID: 22993746
Authors Affiliations
John Northfield MRCP, DPhil Speciality Registrar in Acute Medicine, Swindon Great Western Hospital,
Andrew Beale Consultant Radiologist Swindon Great Western Hospital
Charlotte Cannon Consultant Physician in Acute Medicine Swindon Great Western Hospital Swindon SN3 6BB
Laura Gonzalez Associate Specialist in Acute Medicine, Swindon Great Western Hospital

Enough to Bring a Lump to the Throat: Two Emergency Presentations to the Acute Medical Take

Cite this article as:

Northfield J, Beale A, Cannon C, Gonzalez L. Enough to bring a lump to the throat: two emergency presentations to the acute medical take. Acute Med. 2012;11(3):154-6. PMID: 22993746.

Enough to Bring a Lump to the Throat: Two Emergency Presentations to the Acute Medical Take

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