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- Ryunosuke Hashikawa, Manabu Takamatsu, Makoto Sasaki, Shiho Hiraizumi, and Tadashi Echigo.
- Department of Emergency and Critical Care Medicine, Saiseikai Shiga Hospital, Shiga, Japan. Electronic address: ryunosuke-1108@outlook.jp.
- Am J Emerg Med. 2025 Feb 4.
AbstractA hiatal herniation, which is a common disease worldwide, is associated with various complications. However, hiatal herniation has rarely been reported to cause life-threatening complications in emergency settings. We report a rare case of a patient in shock with collapsed jugular veins and an overdistended inferior vena cava upon transabdominal ultrasonography. The patient was ultimately diagnosed with obstructive shock with inferior vena cava compression attributed to hiatal herniation upon imaging. Clinicians should consider the possibility that hiatal herniation can cause obstructive shock with inferior vena cava compression and take immediate steps to stabilize the vital signs.Copyright © 2025 Elsevier Inc. All rights reserved.
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