Mete KAYA, Selçuk YÜCESAN, Turan KANMAZ, Mehmet Emin BOLEKEN, Orhan DEMİRTAŞ

Esophageal perforation due to paraesophageal hiatal hernia in a boy

Bu yazıda, şok bulguları ile başvuran paraözofagial hiatal hernili dört yaşında bir olgu sunulmaktadır. Yapılan laparotomide midenin, paraözofagial hiatal defektten sağ göğüs boşluğuna geçtiği, volvulus ve stran-gulasyon meydana geldiği görüldü. Sindirilmemiş ayçiçeği çekirdekleri ile ileri derecede dilate olan midede iskemi ve gastroözofagial bileşkede perforasyon oluştuğu saptandı. Subtotal mide rezeksiyonu ve transtorakal yol ile özofagogastric anastomoz uygulandı. Bu sunumda özofagus perforasyonunun patogenezi ve cerrahi yaklaşım tartışıldı.

Çocukta paraözofagial hiatal herniye bağlı özofagos perforasyonu

We report herein the case of a four-year-old boy with paraesophageal hiatal hernia who presented with shock. A laparotoray revealed thai the stomach had prolapsed totally through the paraesophageal hiatal defect into the right chest, and had become volvulized and strangulated. The stomach had been dilated enormously by undigested sunflower seeds, resulting in ischemia and perforation of the gastro-csophageal junction. Subtotal gastric resection and transthoracic esophago-gastric anastomosis were performed. In this report, the pathogenesis of esophageal perforation and the surgical approach are discussed.

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