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Transthoracic Repair of Paraesophageal Diaphragmatic Hernia Presenting with Symptoms Mimicking Cardiac Disease (Chest Pain and Breathlessness)

机译:经胸修复食管旁Dia疝伴有模仿心脏疾病的症状(胸痛和呼吸困难)

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We discuss a case of 60-year-old female patient, who presented with history of chest pain radiating to left shoulder, breathlessness and postprandial discomfort. Patient was initially suspected to be suffering from cardiac pathology and was evaluated accordingly. Upper gastrointestinal endoscopy also missed the findings of paraesophageal hernia as the gastroesophageal junction was at its normal position. Chest roentgenogram raised the suspicion of diaphragmatic hernia, computed tomogram of chest and abdomen was done later on and showed characteristic features of paraesophageal hernia. Patient underwent transthoracic repair of the paraesophageal hernia along with partial fundoplication and had complete relief from the symptoms after surgery.
机译:我们讨论了一例60岁的女性患者,该患者的胸痛史辐射到左肩,呼吸困难和餐后不适。最初怀疑患者患有心脏病,并进行了相应的评估。上消化道内窥镜检查也错过了食管旁疝的发现,因为胃食管连接处处于正常位置。胸部X线片显示怀疑是diaphragm肌疝,随后进行了胸部和腹部的计算机体层摄影术,并显示了食管旁疝的特征。患者接受了部分食管折叠术的经食道旁食管疝修补术,术后症状完全缓解。

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