Mirdamadi Seied Ahmad, Arasteh Mahfar
Department of Echocardiography, Azad University Najafabad Branch, Iran.
N Am J Med Sci. 2010 Aug;2(8):395-6. doi: 10.4297/najms.2010.2395.
Hiatal hernia is an infrequent but serious cause of dyspnea. We report a case of acute dyspnea and paroxysmal nocturnal dyspnea secondary to hiatal hernia and epicardial fat pad.
A 78-year-old woman presented with dyspnea and paroxysmal nocturnal dyspnea. Lab data and physical examination were normal. Computed tomography scan demonstrated a large hiatal hernia and epicardial fat pad.
Although rare, hiatal hernia should be suspected in patients who develop unexplained dyspnea.
食管裂孔疝是一种罕见但严重的呼吸困难病因。我们报告一例继发于食管裂孔疝和心外膜脂肪垫的急性呼吸困难和阵发性夜间呼吸困难病例。
一名78岁女性出现呼吸困难和阵发性夜间呼吸困难。实验室检查数据和体格检查均正常。计算机断层扫描显示有一个巨大的食管裂孔疝和心外膜脂肪垫。
尽管罕见,但对于出现不明原因呼吸困难的患者应怀疑食管裂孔疝。