Subject(s)
Actinomycosis/chemically induced , Anti-Inflammatory Agents/adverse effects , Antibodies, Monoclonal/adverse effects , Lung Diseases/chemically induced , Opportunistic Infections/chemically induced , Scleroderma, Diffuse/drug therapy , Adult , Diagnosis, Differential , Female , Humans , InfliximabSubject(s)
Antibodies, Monoclonal/adverse effects , Antirheumatic Agents/adverse effects , Mycobacterium Infections, Nontuberculous/chemically induced , Pneumonia, Bacterial/chemically induced , Polymyositis/drug therapy , Aged , Fatal Outcome , Humans , Infliximab , Male , Opportunistic Infections/chemically induced , Tumor Necrosis Factor-alpha/antagonists & inhibitorsABSTRACT
An exceptional case of incarcerated para-hiatal hernia with gastric necrosis, developing 7 years a Toupet procedure, is reported. To our knowledge, this is the first reported case of this complication after a surgical anti-reflux procedure without diaphragmatic counter incision. The mechanism, diagnostic difficulties and treatment are discussed.
Subject(s)
Fistula/etiology , Gastric Fistula/etiology , Hernia, Hiatal/surgery , Pleural Diseases/etiology , Stomach Diseases/etiology , Adult , Female , Fistula/diagnostic imaging , Fistula/surgery , Gastric Fistula/diagnostic imaging , Gastric Fistula/surgery , Hernia/diagnostic imaging , Hernia/etiology , Herniorrhaphy , Humans , Necrosis , Pleural Diseases/diagnostic imaging , Pleural Diseases/surgery , Postoperative Complications , Radiography , Stomach Diseases/diagnostic imaging , Stomach Diseases/pathology , Stomach Diseases/surgeryABSTRACT
The authors report a case of a patient presenting with a bronchogenic mediastinal cyst, which presented as a super-infection of the cyst. The cyst was associated with malformation of the cervical vertebra, cardiovascular abnormalities and congenital deafness, placing this in the group of rare complex polymalformation syndrome with Klippel-Feil Syndrome. The authors also stress the value of computed tomography, and above all of nuclear magnetic resonance in the analysis of mediastinal tumours and in particular, of bronchogenic cysts.