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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- 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.
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- Stylopoulos N, Gazelle GS, Ratner DW, et al. Paraoesophageal hernias: operation or observation? Annals Surgery 2002; 236: 492–501.
- 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.
