Casey P, Casey M T
Department of Surgery, Dalhousie University, Halifax, NS.
Can J Surg. 1999 Jun;42(3):220-2.
Hiatus hernia is usually attributed to conditions that cause a chronic increase in intra-abdominal pressure such as multiple pregnancies and obesity. A 30-year-old man, a weightlifter, had a massive hiatus hernia causing both high and low gastrointestinal obstruction but no involvement of the gastroesophageal junction or fundus. The onset of the obstruction is attributed to an extreme increase in intra-abdominal pressure caused by the action of lifting weights.
食管裂孔疝通常归因于导致腹内压慢性升高的情况,如多次怀孕和肥胖。一名30岁的男子,是一名举重运动员,患有巨大食管裂孔疝,导致上、下胃肠道梗阻,但未累及胃食管交界处或胃底。梗阻的发生归因于举重动作引起的腹内压极度升高。