Hiatal herniation of abdominal contents into thoracic cavity is a rare cause of dyspnea. We present in this case report an 81-year-old woman with follicular lymphoma who presented to our emergency department with dyspnea. Physical examination, oxygen saturation on room air, and ECG were normal. Chest X-Ray showed gastric and colonic gas behind the silhouette of the heart. Thorax CT revealed a wide defect in diaphragma with herniation of the stomach and transverse colon. Thoracic surgery department did not consider any urgent intervention and recommended outpatient control. Dyspne are gressed spontaneously with supplemental nasal oxygen. The patient was discharged after symptoms were completely resolved.
Abdominal içeriklerin torakalkaviteyeherniasyonudispnenin nadir bir nedenidir. Bu yazıda, folikülerlenfoma hastalığı olan ve acil servisimize dispne ile başvuran 81 yaşındaki bir kadın hastayı sunuyoruz. Fizik muayene, oda havsında oksijen satürasyonu ve EKG normal idi. Göğüs filmi, kalp gölgesinin arkasında gastrik ve kolonik gaz gösteriyordu. Torakal BT diafragmada geniş bir defekt ile birlikte mide ve transvers kolonun herniasyonunu gösterdi. Göğüs cerrahisi bölümü acil girişim düşünmedi ve ayaktan kontrol önerdi. Dispne nazal oksijen tedavisi ile spontan geriledi. Semptomlar tamamen geriledikten sonra hasta taburcu edildi.
| Other ID | JA49HZ29NG |
|---|---|
| Authors | |
| Submission Date | June 1, 2014 |
| Publication Date | June 1, 2014 |
| IZ | https://izlik.org/JA96WF48TK |
| Published in Issue | Year 2014 Volume: 7 Issue: 2 |
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