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BMC Surgery

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Open Access 01-12-2006 | Case report

Perforated peptic duodenal ulcer in a paraesophageal hernia – a case report of a rare surgical emergency

Authors: Mikael Ekelund, Else Ribbe, Julian Willner, Thomas Zilling

Published in: BMC Surgery | Issue 1/2006

Abstract

Background

Paraesophageal hernias are quite common and sometimes feared due to the risk of incarceration and strangulation of any herniated organ. The hereby reported combination of an incarcerated paraesophageal hernia containing a perforated peptic ulcer is extremely rare.

Case presentation

An elderly man with multiple medical conditions was admitted due to severe upper abdominal pain. The patient was found to have a paraesophageal hernia and underwent a laparotomy. In the hernia, a perforated benign peptic duodenal ulcer was found. The duodenal defect was over-sewn, the hernial defect was closed and the former hernial cavity was drained by a right-sided chest tube. The patient was discharged one month after surgery and was found to do well at follow-up one month after discharge.

Conclusion

This is the first report of a patient surviving the extremely rare and life-threatening combination of a perforated peptic duodenal ulcer in a paraesophageal hernia.

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2482/6/1/prepub

Title: Perforated peptic duodenal ulcer in a paraesophageal hernia – a case report of a rare surgical emergency
Authors: Mikael Ekelund
Else Ribbe
Julian Willner
Thomas Zilling
Publication date: 01-12-2006
Publisher: BioMed Central
Published in: BMC Surgery / Issue 1/2006
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/1471-2482-6-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Perforated peptic duodenal ulcer in a paraesophageal hernia – a case report of a rare surgical emergency

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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