The Ohio State University Wexner Medical Center, Columbus, Ohio.
The Ohio State University Wexner Medical Center, Columbus, Ohio; Division of Thoracic Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio; Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Ann Thorac Surg. 2020 Apr;109(4):e251-e253. doi: 10.1016/j.athoracsur.2019.07.028. Epub 2019 Aug 29.
Hiatal hernia is a common diagnosis. Unless symptomatic, most hiatal hernias are not repaired; in rare cases, however, severe complications can develop during conservative treatment. Although fecopneumothorax occurrence has been described in trauma and related to colonic pathology, it has not been described as occurring from spontaneous strangulation of a hiatal hernia. Regardless of the etiology, prompt recognition of the rare occurrence of fecopneumothorax is imperative. This report describes the presentation, diagnosis, and treatment of a patient presenting with a type IV hiatal hernia that resulted in colonic ischemia, perforation, and fecopneumothorax.
食管裂孔疝是一种常见的诊断。除非有症状，否则大多数食管裂孔疝不需要修复；然而，在极少数情况下，保守治疗过程中可能会出现严重并发症。虽然粪气胸的发生在创伤中已有描述，并与结肠病变有关，但尚未有因食管裂孔疝自发性绞窄而导致粪气胸的报道。无论病因如何，及时认识到这种罕见的粪气胸的发生是至关重要的。本报告描述了一例表现为 IV 型食管裂孔疝的患者，该患者发生了结肠缺血、穿孔和粪气胸。
