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Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

208
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
208
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

195
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
195
Gastritis III: Clinical Manifestations and Management01:23

Gastritis III: Clinical Manifestations and Management

616
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
616
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

507
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
507
Gastritis-II: Pathophysiology01:17

Gastritis-II: Pathophysiology

723
Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
723
Gastroesophageal Reflux Disease I: Meaning and Pathophysiology01:29

Gastroesophageal Reflux Disease I: Meaning and Pathophysiology

627
Gastroesophageal Reflux Disease (GERD) involves the recurrent backflow of the stomach or duodenal contents into the esophagus, leading to troublesome symptoms and potential esophageal mucosal damage. Although GERD is often referred to as a disease, it is more accurately described as a syndrome, as it encompasses a range of symptoms and complications rather than a singular pathological entity, impacting a large number of individuals as the most prevalent upper gastrointestinal problem. Roughly...
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Related Experiment Video

Updated: Oct 22, 2025

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

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Hiatal Hernia With Gastric Perforation.

Dieter Brummund1, Angela Chang2, Michael Renda3

  • 1Department of General Surgery, Aventura Hospital and Medical Center, Aventura, USA.

Cureus
|August 26, 2021
PubMed
Summary

A rare case of acute abdomen caused by a perforated gastric ulcer within a Type III hiatal hernia is presented. Surgical repair was successful, highlighting an unusual presentation of hiatal hernia.

Keywords:
acute abdomencameron ulcergastric perforationgastric ulcerhiatal herniamarginal ulcerperforated viscuspneumoperitoneum

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Area of Science:

  • Gastroenterology
  • Surgical Case Report

Background:

  • Hiatal hernias are common but rarely present with acute abdominal emergencies.
  • Perforated gastric ulcers are a known complication, but their association with hiatal hernias is infrequent.

Observation:

  • A 63-year-old male presented with hematemesis and peritonitis.
  • CT imaging showed pneumoperitoneum, suggesting a perforated viscus.
  • Exploratory laparotomy identified a Type III hiatal hernia with a perforated posterior gastric ulcer.

Findings:

  • The perforated gastric ulcer within the hiatal hernia was successfully reduced and repaired.
  • The patient's acute abdomen was directly attributed to this rare complication of hiatal hernia.

Implications:

  • This case underscores the importance of considering hiatal hernias in the differential diagnosis of acute abdomen, even with atypical presentations.
  • Highlights the successful surgical management of a rare complication, offering insights for similar cases.