Title: Hiatal Hernia: A Rare Cause of Dyspnea Presenting to the Emergency Department
Authors: Jitesh Dhingra, Harmeet Singh Rai, Srikant Sharma, Avi Kumar
DOI: https://dx.doi.org/10.18535/jmscr/v5i6.132
Abstract
Hiatal hernias mostly present at extremes of age groups in children and advanced age groups can rarely lead to pulmonary complaints like shortness of breath and pleuritic chest pain.
We are presenting a case that presented to the emergency department with sudden onset of shortness of breath in a young male presenting to the emergency department. This is a very rare presentation of diaphragmatic hernia and spontaneous diaphragmatic rupture.
References
1. Kahrilas PJ, Kim HC. Kim, Pandolfino JE. Approaches to the diagnosis and grading of hiatal hernia; Best Pract Res Clin Gastroenterol; 2008; 22:601-61
2. Marchand P. The anatomy of esophageal hiatus of the diaphragm and the pathogenesisof hiatus herniation; J Thorac Surg; 1959; 37:81-92.
3. C.S. Winans Hiatus hernia. Its significance in the elderly patient Geriatrics, 27 (1972), pp. 69–78
4. C.-W. Siu, M.-H. Jim, H.-H. Ho et al., “Recurrent acute heart failure caused by sliding hiatus hernia,” Postgraduate Medi-cal Journal, vol. 81, no. 954, pp. 268–269, 2005
5. A. M. T. Chau, R. W.-L. Ma, and D. M. Gold, “Massive hiatus hernia presenting as acute chest pain,” Internal Medicine Journal, vol. 41, no. 9, pp. 704–705, 2011
6. H. S. Lim, D. P. Leong, and M. Alasady, “Massive hiatus hernia mimicking a left atrial mass,” Heart, Lung and Circulation, vol. 22, no. 10, pp. 875–876, 2011.
7. C.L. Alviar, J.P. Cordova, A. Korniyenko, F. Javed, M. Tsukayama, G. Narayan-swami Bilateral Bochdalek hernias pres-enting as respiratory failure in an elderly patients Respir Care, 56 (2011), pp.691–69
8. D. Torres, G. Parrinello, M. Cardillo, M. Bellanca, G. Licata Hiatal herniation of the stomach and pancreas in a patient with oxygen desaturations
9. C.J. Chou, H.M. Sui An unusual cause of dyspnea: giant hiatal hernia followed by Takotsubo cardiomyopathy Kaohsiung J Med Sci, 30 (2014), pp. 484–485
10. Mitiek, R.S. Andrade Giant hiatal hernia Ann Thorac Surg, 89 (2010), pp. S2168–S2173
11. C. Naoum, G.L. Falk, A.C. Ng, T. Lu, L. Ridley, A.J. Ing, et al .Left atrial compression and the mechanism of exercise impairment in patients with a large hiatal hernia J Am Coll Cardiol, 58 (2011), pp. 1624–1634
12. Abbara S, Kalan MM, Lewicki AM. Intrathoracic stomach revisited. Am J Roentgenol. 2003;181:403–414.
13. Akbar A, Parikh DH, Alton H, Clarke JR, Weller PH, Green SH. Spontaneous rupture of the diaphragm. Arch Dis Child 1999; 81: 341-2.
14. Clarke DL, Greatorex B, Oosthuizen GV, Muckart DJ. The spectrum pf diaphra-gmatic injury in a busy metropolitan surgical service. Injury 2009;40: 932-7.
15. Athanassiadi K, Kalavrouziotis G, Athan-assiou M, Vernikos P, Skekas G, Poultsidi A, et al. Blunt diaphragmatic rupture. Eur J Cardiothorac Surg 1999; 15: 469-74.