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Query: UMLS:C0019270 (hernia)
 15,856 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract. We reviewed our experience with 31 cases of Meckel's diverticulum in children from 1966 to 1987. Twenty-four patients presented with clinical manifestations: ten from bleeding, ten from obstruction, and four from diverticulitis. Seven Meckel's were incidental findings at laparotomy. Fifty percent of the patients with bleeding had abdominal pain and 100% had ectopic gastric mucosa in the Meckel's. In six cases the technetium scan identified the Meckel's; there was one false negative scan. Obstruction secondary to a Meckel's diverticulum was due to an internal hernia in five and to intussusception in five. Three patients with intussusception had concomitant bleeding. Diverticulitis was clinically similar to appendicitis. There were no complications and no deaths following surgical resection of Meckel's diverticulum.
Conn Med 1989 Apr
PMID:Meckel's diverticulum in the pediatric surgical population. 274 61

Lung hernia is a protrusion of pulmonary tissue through an abnormal defect in the wall of the thoracic cavity. Though the hernias may be congenital, they are usually acquired following a penetrating injury and surgical intervention. Symptoms are usually vague and infrequent. Pain and discomfort may be present at the site of a chest swelling that increases with forced expiration and valsalva and is readily reducible. Diagnosis may be confirmed radiologically by an oblique chest roentgenogram or a computed tomographic scan. Lung hernias only occasionally require surgical repair. We report the case of a 38-year-old man with acquired lung hernia, through a thoracotomy scar, and presenting as chest pain. A review of the literature is presented.
Conn Med 1997 Feb
PMID:Hernia of the lung: a case report and review of literature. 906 96

Small bowel metastatic disease from primary breast cancer is rare. With this case report we illustrate a distinctly rare presentation of small bowel metastatic disease from breast cancer masquerading as an obstructed incisional hernia. This case is also an example of small bowel metastasis from an invasive ductal primary breast carcinoma as opposed to the more common pattern of small bowel metastasis from lobular carcinoma.
Conn Med 2009 Aug
PMID:Small bowel obstruction from metastatic breast cancer masquerading as an obstructed incisional hernia. 1970 19

An 82-year-old female underwent emergency surgery for right femoral incarcerated hernia under general anesthesia. Anesthesia was induced and maintained with remifentanil and propofol. Her laboratory data showed severe hypokalemia (1.83 mEq x l(-1)) and metabolic alkalosis (HCO3 36.9 mmol x l(-1)). We suspected that the causes of such abnormalities were due to an endocrinological abnormality, but we could not ascertain the actual cause. Drip infusion of sodium chloride and saline solution infusion, to avoid supplying lactate or acetate, the source of bicarbonate ions, were chosen for palliative treatment. No adverse event occurred during surgery. After surgery, endocrinological functions were examined. Primary aldosteronism was ruled out because serum aldosterone and rennin activity were within normal ranges. The patient had been taking a Kampo preparation, Shakuyaku-kanzo-to, for two years. Glycyrrhizin, the main component of Shakuyaku-kanzo-to, has been reported to be a cause of pseudoaldosteronism by inhibiting the enzyme converting cortisol to cortisone. With these findings we confirmed that severe hypokalemia was induced by pseudoaldosteronism by long-term administration of Shakuyaku-kanzo-to.
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PMID:[Case of severe hypokalemia during emergency surgery caused by long-term administration of Shakuyaku-kanzo-to]. 2138 69

Laparoscopic gastric bypass surgery has become a popular form of treatment for individuals suffering from obesity. As such, many institutions routinely employ an upper gastrointestinal (UGI) study on postoperative day one to assess for surgical complications, including anastomotic leaks. In this study, retrospective case analysis was used to determine whether UGI studies prove useful in detecting a gastrointestinal leak. Seventy-five in-hospital case reports were analyzed, of which 55 cases received an UGI study routinely on postoperative day one. Twenty cases received intraoperative anastomotic analysis and an UGI study was completed only if clinically indicated. All UGI studies obtained were negative; however, other complications were noted, including anastomotic stricture and internal hernia. Our study found that routine UGI studies after laparoscopic Roux-En-Ygastric bypass did not contribute significantly to patient care. UGI studies should therefore be employed on a selective basis given the clinical signs and symptoms of the patient.
Conn Med 2013 Aug
PMID:Do routine postoperative upper gastrointestinal studies following laparoscopic gastric bypass affect clinical outcomes? 2419 76