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Bezoar in incarcerated and complicated hiatal hernia
Juan Manuel Suárez Grau1, Antonio Gila Bohórquez2, Julio Gómez Menchero3
1Dpto. de Cirugía General y Aparato Digestivo, Hospital General Básico de Riotinto, España.
Revista Espanola De Enfermedades Digestivas
|October 10, 2019
Summary
A giant bezoar within a strangulated hiatal hernia is rare. Urgent surgery is critical for patients with this condition, even with poor prognoses, to prevent gastric ischemia.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Hiatal hernias are typically asymptomatic.
- A 10 cm bezoar within a hiatal hernia is an uncommon presentation.
- Strangulated hiatal hernias carry a poor prognosis without prompt surgical intervention.
Observation:
- A 67-year-old female presented with a recurrent hiatal hernia after Nissen fundoplication.
- The hernia sac contained a giant bezoar and was volvulated and strangulated.
- Gastric ischemia was a concern due to the advanced state of the condition.
Findings:
- The case involved a rare instance of a large bezoar causing strangulation within a recurrent hiatal hernia.
- The patient required immediate surgical management.
Implications:
- Urgent surgical intervention is paramount in cases of strangulated hiatal hernias with bezoars.
- Prompt treatment can mitigate the risk of severe gastric ischemia and improve patient outcomes.
- This case underscores the importance of timely surgical evaluation for complex hiatal hernia presentations.
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