FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2103751948> ?p ?o ?g. }

• W2103751948 endingPage "e99" @default.
• W2103751948 startingPage "e99" @default.
• W2103751948 abstract "n 83-year-old woman presented with 3 weeks of Apainless jaundice. She reported having some dyspnea after meals for the past 3 months. On examination, bowels sounds were audible from the lower half of her chest. The abdominal examination was unremarkable. Significant laboratory findings included the following: aspartate aminotransferase level, 200 U/L; alanine aminotransferase level, 150 U/L; alkaline phosphatase level, 660 U/L; and serum total bilirubin level, 20 mg/dL. Chest radiography showed loops of intestine in the thoracic cavity, representing enterothorax (Figure A). Computed tomography of the chest and abdomen showed a massive hiatal hernia with protrusion of stomach, small intestine, colon, pancreas, and a portion of common bile duct into the thoracic cavity (Figure B). The gall bladder was distended massively with severe intrahepatic and extrahepatic biliary dilatation (Figure B, red arrow). A partial volvulus of common bile duct was present, with the duct being twisted and running cephalad with acute tapering at the hiatus; thus causing obstructive jaundice (Figure B, green arrow). Figure C (red arrows) shows the diaphragm on both sides with massive hiatal hernia. A percutaneous transhepatic cholangiography was performed for biliary decompression. Figure D shows the cholangiogram with a biliary catheter in place, the common bile duct running superiorly, with an abrupt narrowing at the level of the hiatus in comparison with the computed tomography scan image, and finally ending in the duodenum(arrow; C, commonbile duct; D, duodenum; L, left hepatic duct; R, right hepatic duct; S, stomach). Laparotomy confirmed type IV paraesophageal hernia. Fifty centimeters of small bowel was resected because of signs of strangulation. The hernia sac was removed, and the contents were replaced into the abdominal cavity. The crura were sutured with a mesh, and a Nissen fundoplication was performed. Repeat imaging did not show any narrowing of the common bile duct. Jaundice improved immediately postoperatively. Jaundice caused by biliary obstruction is an extremely rare presentation of a paraesophageal hiatal hernia. It first was reported in 1986. However, only 2 cases have been reported thereafter. A massive paraesophageal hernia involving the intestine eventually may lead to an abnormal cephalad course of common bile duct through diaphragmatic hiatus and may result in extrinsic compression of the bile duct. Percutaneous cholangiography is important to confirm the anatomic position of the bile duct as well as for biliary decompression to prevent cholangitis. Evidence of jaundice warrants early surgical correction of the paraesophageal hernia. References 1. Llaneza PP, Salt WB 2nd, Partyka EK. Extrahepatic biliary obstruction complicating a diaphragmatic hiatal hernia with intrathoracic gastric volvulus. Am J Gastroenterol 1986;81:292–294. 2. Caldeiro JC, Curcio A, Gigena VC, et al. Choledochal semi volvulus with jaundice due to hiatal hernia. Initial percutaneous management. Acta Gastroenterol Latinoam 2001;31:329–332. 3. Lamouliatte H, Bernard PH, Lefebvre P, et al. Hernie hiatale avec volvulus intrathoracique. Une cause rare d’ictere obstructif. Gastroenterol Clin Biol 1992;16:89–91." @default.
• W2103751948 created "2016-06-24" @default.
• W2103751948 creator A5008313653 @default.
• W2103751948 creator A5089341672 @default.
• W2103751948 creator A5091889266 @default.
• W2103751948 date "2014-10-01" @default.
• W2103751948 modified "2023-10-10" @default.
• W2103751948 title "Biliary Obstruction From Paraesophageal Hernia" @default.
• W2103751948 cites W2462360026 @default.
• W2103751948 cites W26250480 @default.
• W2103751948 cites W2395052451 @default.
• W2103751948 doi "https://doi.org/10.1016/j.cgh.2014.04.024" @default.
• W2103751948 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/24793027" @default.
• W2103751948 hasPublicationYear "2014" @default.
• W2103751948 type Work @default.
• W2103751948 sameAs 2103751948 @default.
• W2103751948 citedByCount "6" @default.
• W2103751948 countsByYear W21037519482017 @default.
• W2103751948 countsByYear W21037519482019 @default.
• W2103751948 countsByYear W21037519482022 @default.
• W2103751948 countsByYear W21037519482023 @default.
• W2103751948 crossrefType "journal-article" @default.
• W2103751948 hasAuthorship W2103751948A5008313653 @default.
• W2103751948 hasAuthorship W2103751948A5089341672 @default.
• W2103751948 hasAuthorship W2103751948A5091889266 @default.
• W2103751948 hasConcept C141071460 @default.
• W2103751948 hasConcept C2779096551 @default.
• W2103751948 hasConcept C61434518 @default.
• W2103751948 hasConcept C71924100 @default.
• W2103751948 hasConceptScore W2103751948C141071460 @default.
• W2103751948 hasConceptScore W2103751948C2779096551 @default.
• W2103751948 hasConceptScore W2103751948C61434518 @default.
• W2103751948 hasConceptScore W2103751948C71924100 @default.
• W2103751948 hasIssue "10" @default.
• W2103751948 hasLocation W21037519481 @default.
• W2103751948 hasLocation W21037519482 @default.
• W2103751948 hasOpenAccess W2103751948 @default.
• W2103751948 hasPrimaryLocation W21037519481 @default.
• W2103751948 hasRelatedWork W146675446 @default.
• W2103751948 hasRelatedWork W155264843 @default.
• W2103751948 hasRelatedWork W1971802358 @default.
• W2103751948 hasRelatedWork W2040006606 @default.
• W2103751948 hasRelatedWork W2116843285 @default.
• W2103751948 hasRelatedWork W2263228682 @default.
• W2103751948 hasRelatedWork W2748952813 @default.
• W2103751948 hasRelatedWork W2899084033 @default.
• W2103751948 hasRelatedWork W3031052312 @default.
• W2103751948 hasRelatedWork W4385068198 @default.
• W2103751948 hasVolume "12" @default.
• W2103751948 isParatext "false" @default.
• W2103751948 isRetracted "false" @default.
• W2103751948 magId "2103751948" @default.
• W2103751948 workType "article" @default.