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Year : 2016  |  Volume : 4  |  Issue : 2  |  Page : 142-145

Unusual cause of retrosternal chest pain


Department of Surgery, Thoracic Surgery Division, King Fahd Hospital of the University, University of Dammam, Dammam, Saudi Arabia

Date of Web Publication9-Mar-2016

Correspondence Address:
Yasser Aljehani
Department of Surgery, Thoracic Surgery Division, King Fahd Hospital of the University, University of Dammam, Dammam
Saudi Arabia
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DOI: 10.4103/1658-631X.178372

PMID: 30787719

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How to cite this article:
Aljehani Y. Unusual cause of retrosternal chest pain. Saudi J Med Med Sci 2016;4:142-5

How to cite this URL:
Aljehani Y. Unusual cause of retrosternal chest pain. Saudi J Med Med Sci [serial online] 2016 [cited 2021 Mar 2];4:142-5. Available from: https://www.sjmms.net/text.asp?2016/4/2/142/178372

A 56-year-old female, known hypertensive on oral medications with a long history of gastroesophageal reflux disease, who underwent three laparotomies. The last two were for Nissen's fundoplication almost 8 years earlier to her presentation. She presented with progressive dyspnea mainly postprandial. Her physical examination was unremarkable as well as her laboratory investigations. The initial chest x-ray is shown in [Figure 1]. The barium swallow is illustrated in [Figure 2]. Computed tomography of the chest and upper abdomen is shown in [Figure 3] and [Figure 4] a-b.
Figure 1: Initial chest X-ray

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Figure 2: Barium swallow

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Figure 3: Axial computed tomography section

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Figure 4: Sagittal and coronal computed tomography sections (a and b)

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  Questions Top


  1. What are the findings on initial chest radiograph?
  2. What are the findings on the barium swallow and CT?
  3. Is surgery indicated to treat such entity?




Click here to view answer. View Answer


 
  References Top

1.
Dean C, Etienne D, Carpentier B, Gielecki J, Tubbs RS, Loukas M. Hiatal hernias. Surg Radiol Anat 2012;34:291-9.  Back to cited text no. 1
    
2.
Camus M, Jensen DM, Ohning GV, Kovacs TO, Ghassemi KA, Jutabha R, et al. Severe upper gastrointestinal hemorrhage from linear gastric ulcers in large hiatal hernias: A large prospective case series of Cameron ulcers. Endoscopy 2013;45:397-400.  Back to cited text no. 2
    
3.
Shaikh I, Macklin P, Driscoll P, de Beaux A, Couper G, Paterson-Brown S. Surgical management of emergency and elective giant paraesophageal hiatus hernias. J Laparoendosc Adv Surg Tech A 2013;23:100-5.  Back to cited text no. 3
    
4.
Schieman C, Grondin SC. Paraesophageal hernia: Clinical presentation, evaluation, and management controversies. Thorac Surg Clin 2009;19:473-84.  Back to cited text no. 4
    


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

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