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dc.contributor.authorMukundu Nagesh, Navin
dc.contributor.authorOsilli, Dixon
dc.contributor.authorKhoo, David
dc.date.accessioned2021-08-11T11:01:58Z
dc.date.available2021-08-11T11:01:58Z
dc.date.issued2020-12-10
dc.identifier.citationMukundu Nagesh, N., Osilli, D. and Khoo, D. (2020) 'Giant hiatus hernia presenting as a chronic cough masking a sinister diagnosis.', BMJ case reports, 13(12). doi: 10.1136/bcr-2020-235802.
dc.identifier.pmid33303497
dc.identifier.doi10.1136/bcr-2020-235802
dc.identifier.urihttps://rde.dspace-express.com/handle/11287/621838
dc.description.abstractWe present a case of an 82-year-old gentleman with an 18-month history of productive cough. Urgent CT scan of the thorax revealed type 1 hiatus hernia (HH). The patient was managed conservatively with lifestyle modifications to help his reflux symptomology. The patient subsequently presented with acute shortness of breath and vomiting. Repeat CT scan reported a giant incarcerated HH (15?cm). Endoscopy revealed an incidental finding of a 3?cm polypoid lesion in the oesophagus at the level of the carina and histology of biopsies reported an invasive adenocarcinoma. During admission, the patient unfortunately had a hospital acquired infection and cardiac complications which prevented surgical intervention. Patients with suspected HH should be investigated thoroughly with imaging studies including chest X-ray, CT or MRI alongside oesophageal manometry and gastroscopy. Endoscopic evaluation is particularly important as these patients are at higher risk of Barrett's oesophagus and invasive malignancy.
dc.language.isoeng
dc.publisherBMJ
dc.relation.urlhttps://casereports.bmj.com/lookup/pmidlookup?view=long&pmid=33303497
dc.rights© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.
dc.subjectHumans
dc.subjectMale
dc.subjectAged, 80 and over
dc.subjectTomography, X-Ray Computed
dc.subjectAdenocarcinoma/*diagnosis/pathology
dc.subjectcancer intervention
dc.subjectCough/*etiology
dc.subjectEsophageal Neoplasms/*diagnosis/pathology
dc.subjectGastroesophageal Reflux/etiology
dc.subjectgastrointestinal surgery
dc.subjectGastroscopy
dc.subjectgeneral surgery
dc.subjectHernia, Hiatal/complications/*diagnostic imaging
dc.subjectManometry
dc.subjectRadiography, Thoracic
dc.titleGiant hiatus hernia presenting as a chronic cough masking a sinister diagnosis.
dc.typeJournal Article
dc.identifier.journalBMJ case reports
dc.identifier.pmcidPMC7733102
dc.description.noteRD&E staff can access the full-text of this article by clicking on the 'Additional Link' above and logging in with NHS OpenAthens if prompted.
dc.type.versionPublished
dc.description.admin-notePublished version, accepted version (12 month embargo), submitted version


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