Bilateral Bochdalek Hernias Presenting as Respiratory Failure in an Elderly Patient

Alviar, Carlos L.; Cordova, Juan Pablo; Korniyenko, Aleksandr; Javed, Fawad; Tsukayama, Miguel; Narayanswami, Gopal

doi:10.4187/respcare.00817

Cited by 5 publications

(4 citation statements)

References 10 publications

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“…The aim standard and definitive treatment for hiatal hernia is surgical surgery [8]. Spirometry has indicated an improvement in FEV1, FVC, and total lung capacity after the repair, leading in an increase in exercise capacity [17][18][19]. The treatment for a paraesophageal hiatus hernia is either laparoscopic or open surgery [2].…”

Section: Discussionmentioning

confidence: 99%

Case Report on Nursing Management of a Client with Hiatus Hernia

Meghe¹,

Tembhare

Ankar

et al. 2021

JPRI

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A hiatus hernia occurs when a portion of the stomach protrudes into the chest cavity. It enters through the same entrance through which the food tube (oesophagus) travels to the stomach. A case of an 39-year-old male with a history of diabetic presented to the emergency room with acute onset shortness of breath, epigastric pain and chest pain. The stomach bulges up into the chest through that opening in a hiatal hernia (also known as a hiatus hernia). The client was having burning sensation in epigastric region since from 2-5 year, acid reflux after taking food, heartburn, nausea, regurgitation, vomiting, and abdominal pain and irritation. After the physical examination, history collection and investigations he was diagnosed as case of hiatus hernia.The study's main focus is on professional management and excellent nursing care, which may be able to give the holistic care that hiatus hernia requires while also efficiently treating the difficult case. Following a complete recovery, the patient's multidisciplinary health care team works together to help the patient reclaim his or her prior level of independence and contentment.

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Section: Discussionmentioning

confidence: 99%

Case Report on Nursing Management of a Client with Hiatus Hernia

Meghe¹,

Tembhare

Ankar

et al. 2021

JPRI

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“…Al. [7] reported a case of bilateral Bochdalekhernias presenting with respiratory failure that required noninvasive ventilator support. Later, in 2013, Torres et.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to shortness of breath as a rare presentation, hiatal hernia can also present with angina pectoris [8], arrhythmias, recurrent heart failure [7] due to the extent of hernia and the compression to heart and pulmonary veins by organs protruded into thorax cavity [13] and exercise impairment [10].…”

Section: Discussionmentioning

confidence: 99%

A case of giant hiatal hernia in an elderly patient: When spleen, stomach, duodenum and colon slide into thorax- A rare cause of dyspnea and chest pain

Gomes¹

2020

G Med Sci

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Giant hiatal hernias, generally seen at advanced ages, can rarely cause cardiorespiratory symptoms such as dyspnea and chest pain. Here, we aimed to present a case with a large hiatal hernia that largely protruded to intrathoracic cavity and caused dyspnea, particularly at postprandial period. We report a case of a 74-year-old female who presented with one-month history of progressive shortness of breath and left sided chest pain. Upon arrival, the patient was found to be hypoxic with oxygen saturation 90% on room air. Physical examination also showed decreased breath sounds on left mid to basal lung with shifting of trachea and apex beat to right side. Plain radiograph demonstrated an increased opacity at the left lower lobe with retro-cardiac air fluid level; Subsequent computerized tomography of the chest revealed a giant hiatal hernia, containing stomach, duodenum, colon and spleen. This case highlights the giant hiatal hernia as an unusual cause of shortness of breath and chest pain, especially in elderly patients.

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“…[6] There have been very few case reports of hiatal hernias with initial presenting complaints of shortness of breath. [7,8,9] A history of such an event in the past should raise high suspicion in a patient coming to the emergency department.…”

Section: Discussionmentioning

confidence: 99%

Hiatal Hernia: A Rare Cause of Dyspnea Presenting to the Emergency Department

Dhingra¹

2017

jmscr

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Hiatal hernias mostly present at extremes of age groups in children and advanced age groups can rarely lead to pulmonary complaints like shortness of breath and pleuritic chest pain. We are presenting a case that presented to the emergency department with sudden onset of shortness of breath in a young male presenting to the emergency department. This is a very rare presentation of diaphragmatic hernia and spontaneous diaphragmatic rupture.

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Bilateral Bochdalek Hernias Presenting as Respiratory Failure in an Elderly Patient

Cited by 5 publications

References 10 publications

Case Report on Nursing Management of a Client with Hiatus Hernia

Case Report on Nursing Management of a Client with Hiatus Hernia

A case of giant hiatal hernia in an elderly patient: When spleen, stomach, duodenum and colon slide into thorax- A rare cause of dyspnea and chest pain

Hiatal Hernia: A Rare Cause of Dyspnea Presenting to the Emergency Department

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