CARDIOPULMONARY ARREST CAUSED BY A LARGE HIATAL HERNIA: A RARE CASE

Cardiopulmonary arrest caused by a large hiatal hernia

Authors

  • Ana Filipa Correia CHUC

DOI:

https://doi.org/10.25751/rspa.31102

Keywords:

Anesthesia, Cardiopulmonary Arrest, Hernia, Hiatal

Abstract

A middle-aged man was admitted to the emergency room with pain, abdominal distension and vomiting. The chest computed tomography showed a gastric volvulus and herniation of the stomach to the intrathoracic space.

During the patient’s transfer to the operating room there was loss of consciousness and cardiopulmonary arrest with the need to start advanced life support and emergent laparotomy.

The authors describe a rare and challenging situation, which was not reported in the literature before, of cardiopulmonary arrest caused by a hiatal hernia, pointing to the importance of being alert to signs/symptoms that may suggest the presence of cardiac compression.

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References

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Torres D, Parrinello G, Cardillo M, Pomilla M, Trapanese C, Michele B, et al. Large hiatal hernia at chest radiography in a woman with cardiorespiratory symptoms. Am J Emerg Med. 2012;30[9]:2103.e1-3.

Siu CW, Jim MH, Ho HH, Chu F, Chan HW, Lau CP, et al. Recurrent acute heart failure caused by sliding hiatus hernia. Postgrad Med J. 2005;81[954]:268-9.

Zwermann L, Rittler P, Ritter P, Spelsberg F, Spelberg F, Helck A, et al. Syncope due to a massive upside-down stomach. J Am Coll Cardiol. 2013;61[18]:1925.

Tielliu I, Willemsen P, Gerard Y. An intermittently volvulating paraoesophageal hernia mimicking angina pectoris. A case report. Acta Chir Belg. 1997;97[2]:81-3.

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Published

2023-09-29

How to Cite

Correia, A. F. (2023). CARDIOPULMONARY ARREST CAUSED BY A LARGE HIATAL HERNIA: A RARE CASE : Cardiopulmonary arrest caused by a large hiatal hernia. Journal of the Portuguese Society of Anesthesiology, 32(3). https://doi.org/10.25751/rspa.31102

Issue

Vol. 32 No. 3 (2023): Revista da Sociedade Portuguesa de Anestesiologia

Section

Case Report

License

Copyright (c) 2023 Ana Filipa Correia

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