Treatment of recurrent hiatal hernia, complicated by pleural empyema, mediastinitis and sepsis
M. A. Protchenkov,
А. V. Reshetov,
A. V. Litvinov,
Y. F. Ukhimik,
D. I. Vasilevskii,
S. Yu. Dvoreckiy,
A. L. Akopov Abstract
An observation of a rare complication of a hiatal hernia is presented – migration of the stomach with an antireflux cuff into the mediastinum with the development of acute gastric dilation, necrosis of the gastric wall in a 51-year-old woman. The effectiveness of stage-by-stage treatment of severe intrapleural complications of recurrent hiatal hernia accompanied by sepsis and multiple organ failure is shown.
About the Authors
M. A. Protchenkov
Municipal hospital № 26; Saint-Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Protchenkov Mikhail A., Dr. of Sci. (Med.), Associate Professor, Associate Professor of the Department of Faculty Surgery named after Prof. A.A. Rusanov
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
А. V. Reshetov
Municipal hospital № 26; North-Western State Medical University named after I. I. Mechnikov
Russian Federation
Competing Interests:
Russian Federation
Reshetov Aleksey V., Cand. of Sci. (Med.), Associate Professor of the Department of Phthisiopulmonology and Thoracic Surgery
41, Kirochnaya str., Saint Petersburg, 191015
Competing Interests:
The authors declare no conflict of interest
A. V. Litvinov
Municipal hospital № 26; North-Western State Medical University named after I. I. Mechnikov
Russian Federation
Competing Interests:
Russian Federation
Litvinov Alexander Yu., Senior Laboratory Assistant of the Department of Phthisiopulmonology and Thoracic Surgery
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
Y. F. Ukhimik
Municipal hospital № 26
Russian Federation
Competing Interests:
Russian Federation
YukhimikYury F., Head of Surgical Department № 2
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
D. I. Vasilevskii
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Vasilevsky Dmitry I., Dr. of Sci. (Med.), Professor, Professor, Head of the Department of Surgical Diseases of the Faculty of Dentistry with a course of Coloproctology
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
S. Yu. Dvoreckiy
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Dvoreckiy Sergey Yu., Dr. of Sci. (Med.), Associate Professor, Head of Oncological Department № 4 (Thoracic Surgery) of the Clinic of the Research Institute of Surgery and Emergency Medicine
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
A. L. Akopov
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Akopov Andey L., Dr. of Sci. (Med.), Professor, Head of the Thoracic Surgery Department of the Clinic of the Research Institute of Surgery and Emergency Medicine
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
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Review
For citations:
Protchenkov M.A., Reshetov А.V., Litvinov A.V., Ukhimik Y.F., Vasilevskii D.I., Dvoreckiy S.Yu., Akopov A.L. Treatment of recurrent hiatal hernia, complicated by pleural empyema, mediastinitis and sepsis. Grekov's Bulletin of Surgery. 2023;182(3):66-71. (In Russ.)
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