Giant hiatal hernia with stomach, spleen, colon and intrathoracic small intestine. A case report and literature revision

Authors

  • Aisel Rodríguez Morales
  • Efrén López Rodríguez
  • Kadir Lezcano González
  • Jeisson David Hincapié Álvarez
  • Jesús Alexander Rivas Goyes
  • Doly Sosa Sánchez

Abstract

A 23 years masculine sex patient, who suffered bilateral femur fracture produced by an automobile accident, besides a suspicious clinical profile of closed abdominal trauma with hollow visceral injury. Laparatomy is carried out and it was white; it was found a big hiatal hernia with the presence of stomach, spleen, parts of colon and proximal jejunal loops within the thoracic cavity. Taking into account the state of the patient, it was decided to repair in a second time. Seven days later the patient was operated suffering an occlusive picture of high small intestine. An approach through a thoracotomy, a bridles lysis, hiatoplasty and antireflux surgery was carried out. The evolutionary post operating x-rays confirmed the complete reduction of hernia. The patient had a satisfactory evolution. A revision of literature and a case presentation it is carried out.

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Author Biographies

Aisel Rodríguez Morales

Especialista de 1er Grado en Medicina General Integral. Especialista de 1er Grado en Cirugía General.

Efrén López Rodríguez

Especialista de 1er Grado en Medicina General Integral. Especialista de 1er Grado en Cirugía General. Máster en Urgencias Médicas.

Kadir Lezcano González

Especialista de 1er Grado en Cirugía General. Máster en Urgencias Médicas. Profesor  Instructor.

Jeisson David Hincapié Álvarez

Especialista de 1er Grado en Medicina General Integral. Residente 1er Año de Cirugía.

Jesús Alexander Rivas Goyes

Especialista de 1er Grado en Medicina General Integral. Residente 1er Año de Cirugía.

Doly Sosa Sánchez

Estudiante 5to Año de Medicina.

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Published

2013-12-19

How to Cite

1.
Rodríguez Morales A, López Rodríguez E, Lezcano González K, Hincapié Álvarez JD, Rivas Goyes JA, Sosa Sánchez D. Giant hiatal hernia with stomach, spleen, colon and intrathoracic small intestine. A case report and literature revision. Mediciego [Internet]. 2013 Dec. 19 [cited 2025 Dec. 8];19. Available from: https://revmediciego.sld.cu/index.php/mediciego/article/view/247

Issue

Vol. 19 (2013): Suplemento 1

Section

Case Report

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