caa a22 4500 606245944 CHVBK 20210128101337.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s12262-014-1135-1 doi (NATIONALLICENCE)springer-10.1007/s12262-014-1135-1 Gastric Gangrene Due to a Strangulated Paraesophageal Hernia—a Case report [Elektronische Daten] [Abid Iqbal, Rakesh Naik, PK Mohanan] Paraesophageal hernias are considered to be benign entities which are usually managed conservatively. We present a case of a middle-aged male with no previous history of esophageal hernia who presented with acute chest and abdominal pain. The patient was diagnosed to have a type 2 paraesophageal hernia with gastro-thorax. Laparotomy was performed during which it was found that herniated segment of the stomach had strangulated and gangrenous. Thoracotomy was performed and gangrenous stomach segment resected. A roux-en-Y esophago-jejunostomy was performed. Diaphragmatic defect was plicated. Patient recovered with adequate post operative support. A review of the literature revealed that paraesophageal hernias presenting as acute abdominal pain is a rare clinical entity and those with gastric gangrene is even rarer, with high mortality rates. We suggest that paraesophageal hernias require to be managed actively considering the seriousness of potential complications and the relative safety of newer elective surgical modalities. A high index of suspicion is needed in order to avoid missing this diagnosis in patients presenting with chest pain. Association of Surgeons of India, 2014 Paraesophageal hernia nationallicence Gangrene nationallicence Gastrectomy nationallicence Strangulation nationallicence Hernia nationallicence Hiatal nationallicence Iqbal Abid Department of Surgery, Government Medical College Thrissur, Thrissur, Kerala, India aut Naik Rakesh Department of Cardiovascular and Thoracic Surgery, Christian Medical College Vellore, Tamilnadu, Kerala, India aut Mohanan PK Department of Surgery, Government Medical College Thrissur, Thrissur, Kerala, India aut Indian Journal of Surgery Springer India 77(2015-04-01), 66-68 0972-2068 77<66 2015 77 12262 https://doi.org/10.1007/s12262-014-1135-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-014-1135-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Iqbal Abid Department of Surgery, Government Medical College Thrissur, Thrissur, Kerala, India aut NATIONALLICENCE 700 1- Naik Rakesh Department of Cardiovascular and Thoracic Surgery, Christian Medical College Vellore, Tamilnadu, Kerala, India aut NATIONALLICENCE 700 1- Mohanan PK Department of Surgery, Government Medical College Thrissur, Thrissur, Kerala, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-04-01), 66-68 0972-2068 77<66 2015 77 12262