• Internal medicine · Jan 2024

    Case Reports

    Relief of Obstructive Shock with a Large Hiatal Hernia Occupying the Posterior Mediastinum by Urgent Endoscopy: A Case Report.

    • Takashi Aikawa, Takuro Yamada, and Tomohiro Iida.
    • Department of Internal Medicine, Kiryu Kosei General Hospital, Japan.
    • Intern. Med. 2024 Jan 15; 63 (2): 231234231-234.

    AbstractA 78-year-old man was admitted to our hospital with obstructive shock caused by a large hiatal hernia that occupied the posterior mediastinum. Tension gastro-duodenothorax was detected in his stomach and duodenum, and we performed urgent endoscopy to relieve shock. Large hiatal hernia occasionally leads to cardiac failure. This is the first reported use of urgent endoscopy to treat a large hiatal hernia.

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