Image in medicine
Paraesophageal hernia
Hernia de hiato paraesofágica
a Renal Division, Department of Medicine, Peking University First Hospital, PR China
b Institute of Nephrology, Peking University, PR China
c Renal Pathology Center, Institute of Nephrology, Peking University, PR China
d Key Laboratory of Renal Disease, Ministry of Health of China, PR China
e Key Laboratory of CKD Prevention and Treatment, Ministry of Education of China, Beijing 100034, PR China
f Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing 100034, China
Read
16
Timeswas read the article
5
Total PDF
11
Total HTML
Share statistics
array:24 [ "pii" => "S0025775320305455" "issn" => "00257753" "doi" => "10.1016/j.medcli.2020.06.049" "estado" => "S300" "fechaPublicacion" => "2021-08-13" "aid" => "5378" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2020" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2021;157:157" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "en" => array:19 [ "pii" => "S2387020621003521" "issn" => "23870206" "doi" => "10.1016/j.medcle.2020.06.042" "estado" => "S300" "fechaPublicacion" => "2021-08-13" "aid" => "5378" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2021;157:157" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Paraesophageal hernia" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "157" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hernia de hiato paraesofágica" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 639 "Ancho" => 1625 "Tamanyo" => 125072 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A computed tomographic scan showed a retrocardiac mass containing air and liquid, right middle lobe atelectasis and pleural effusion.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Zi-Shan Lin, Xue-Jing Chen, Zhe Jin" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Zi-Shan" "apellidos" => "Lin" ] 1 => array:2 [ "nombre" => "Xue-Jing" "apellidos" => "Chen" ] 2 => array:2 [ "nombre" => "Zhe" "apellidos" => "Jin" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0025775320305455" "doi" => "10.1016/j.medcli.2020.06.049" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775320305455?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020621003521?idApp=UINPBA00004N" "url" => "/23870206/0000015700000003/v3_202201060717/S2387020621003521/v3_202201060717/en/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S0025775320305200" "issn" => "00257753" "doi" => "10.1016/j.medcli.2020.06.038" "estado" => "S300" "fechaPublicacion" => "2021-08-13" "aid" => "5353" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2021;157:158" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Perirenal infiltration: Key point in Erdheim-Chester disease diagnosis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "158" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Infiltración perirrenal: signo clave en el diagnóstico de la enfermedad de Erdheim-Chester" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 638 "Ancho" => 850 "Tamanyo" => 68501 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Alejandra García Baizan, Paula Pereira Bouzas, Rosa Bouzas Sierra" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Alejandra" "apellidos" => "García Baizan" ] 1 => array:2 [ "nombre" => "Paula" "apellidos" => "Pereira Bouzas" ] 2 => array:2 [ "nombre" => "Rosa" "apellidos" => "Bouzas Sierra" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S238702062100351X" "doi" => "10.1016/j.medcle.2020.06.041" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S238702062100351X?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775320305200?idApp=UINPBA00004N" "url" => "/00257753/0000015700000003/v3_202112201214/S0025775320305200/v3_202112201214/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0025775320304917" "issn" => "00257753" "doi" => "10.1016/j.medcli.2020.05.038" "estado" => "S300" "fechaPublicacion" => "2021-08-13" "aid" => "5324" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2021;157:156" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Hypoinsulinemic hypoglycemia as a presenting feature of systemic lupus erythematosus" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "156" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hipoglucemia hipoinsulinémica como manifestación inicial de un lupus eritematoso sistémico" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Sarah A. Mahmoud, Mohammed A. Soliman, Ahmad A. El-Ebiary" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Sarah A." "apellidos" => "Mahmoud" ] 1 => array:2 [ "nombre" => "Mohammed A." "apellidos" => "Soliman" ] 2 => array:2 [ "nombre" => "Ahmad A." "apellidos" => "El-Ebiary" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2387020621003508" "doi" => "10.1016/j.medcle.2020.05.054" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020621003508?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775320304917?idApp=UINPBA00004N" "url" => "/00257753/0000015700000003/v3_202112201214/S0025775320304917/v3_202112201214/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Paraesophageal hernia" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "157" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Zi-Shan Lin, Xue-Jing Chen, Zhe Jin" "autores" => array:3 [ 0 => array:3 [ "nombre" => "Zi-Shan" "apellidos" => "Lin" "referencia" => array:5 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0005" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0020" ] 3 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0025" ] 4 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0030" ] ] ] 1 => array:3 [ "nombre" => "Xue-Jing" "apellidos" => "Chen" "referencia" => array:5 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0005" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0020" ] 3 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0025" ] 4 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0030" ] ] ] 2 => array:4 [ "nombre" => "Zhe" "apellidos" => "Jin" "email" => array:1 [ 0 => "ctenl@qq.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">f</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:6 [ 0 => array:3 [ "entidad" => "Renal Division, Department of Medicine, Peking University First Hospital, PR China" "etiqueta" => "a" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Institute of Nephrology, Peking University, PR China" "etiqueta" => "b" "identificador" => "aff0005" ] 2 => array:3 [ "entidad" => "Renal Pathology Center, Institute of Nephrology, Peking University, PR China" "etiqueta" => "c" "identificador" => "aff0020" ] 3 => array:3 [ "entidad" => "Key Laboratory of Renal Disease, Ministry of Health of China, PR China" "etiqueta" => "d" "identificador" => "aff0025" ] 4 => array:3 [ "entidad" => "Key Laboratory of CKD Prevention and Treatment, Ministry of Education of China, Beijing 100034, PR China" "etiqueta" => "e" "identificador" => "aff0030" ] 5 => array:3 [ "entidad" => "Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing 100034, China" "etiqueta" => "f" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hernia de hiato paraesofágica" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 639 "Ancho" => 1625 "Tamanyo" => 125072 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A computed tomographic scan showed a retrocardiac mass containing air and liquid, right middle lobe atelectasis and pleural effusion.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">An 81-year-old women was admitted to our center due to fever and dyspnea for one week. She had no history of dyspepsia, vomiting, or reflux. The physical examination revealed decreased breath sound of right lung base with crackles. A chest radiograph showed a retrocardiac gastric bubble, which suggested a paraesophageal hernia (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). A computed tomographic scan showed a retrocardiac mass containing air and liquid (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>) that was consistent with herniation of the stomach into the chest. Right middle lobe atelectasis and pleural effusion were noticed as well.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Hiatal hernia is defined as herniation of elements of the abdominal cavity through the esophageal hiatus into the chest. Around halve of patients have symptoms of gastroesophageal reflux disease, and other symptoms such as postprandial fullness, nausea, and retching. Although infrequent, complications of a paraesophageal hernia include gastric volvulus, bleeding and mechanical compression of the lung and heart. In patients with paraesophageal hernia, chest radiographs, computed tomography scans, or magnetic resonance imaging may show the level of reflux fluid in the paraesophageal hernia or the chest cavity. Surgical treatment is usually recommended to avoid severe complications and increasing symptoms. However, recurrence has been observed.</p><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethics approval</span><p id="par0020" class="elsevierStylePara elsevierViewall">This study was performed in accordance with the Helsinki Declaration, and approved by the ethics committee of the Peking University First Hospital. Written informed consent were obtained from the patient.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Consent for publication</span><p id="par0025" class="elsevierStylePara elsevierViewall">Informed written consent was obtained from the patient for publication of this case report and accompanying images. A Copy of the written consent is available for review by the Editor of this journal.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Availability of data and materials</span><p id="par0030" class="elsevierStylePara elsevierViewall">All data generated in this study are included in the main manuscript.</p></span><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Conflicts of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interests.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Ethics approval" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Consent for publication" ] 2 => array:2 [ "identificador" => "sec0020" "titulo" => "Availability of data and materials" ] 3 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 667 "Ancho" => 671 "Tamanyo" => 37186 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A chest radiograph showed a retrocardiac gastric bubble, which presented the hiatal hernia.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 639 "Ancho" => 1625 "Tamanyo" => 125072 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A computed tomographic scan showed a retrocardiac mass containing air and liquid, right middle lobe atelectasis and pleural effusion.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/00257753/0000015700000003/v3_202112201214/S0025775320305455/v3_202112201214/en/main.assets" "Apartado" => array:4 [ "identificador" => "64289" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes médicas" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00257753/0000015700000003/v3_202112201214/S0025775320305455/v3_202112201214/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775320305455?idApp=UINPBA00004N" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 March | 1 | 1 | 2 |
| 2023 March | 0 | 2 | 2 |
| 2022 November | 1 | 0 | 1 |
| 2021 November | 6 | 0 | 6 |
| 2021 September | 2 | 0 | 2 |
| 2021 July | 1 | 2 | 3 |
