An Elderly Woman With Gibbus Deformity and Physiologic Shock

منو

" An Elderly Woman With Gibbus Deformity and Physiologic Shock "
Sakai, Shuntaro; Hirayama, Yoji; Oki, Motoji

Document Type	:	AL
Record Number	:	928155
Doc. No	:	LA3zp4r0hx
Language of Document	:	English
Main Entry	:	Sakai, Shuntaro; Hirayama, Yoji; Oki, Motoji
Title & Author	:	An Elderly Woman With Gibbus Deformity and Physiologic Shock [Article]\ Sakai, Shuntaro; Hirayama, Yoji; Oki, Motoji
Title of Periodical	:	Clinical Practice and Cases in Emergency Medicine
Volume/ Issue Number	:	3/4
Date	:	2019
Abstract	:	Physiological shock requires prompt diagnosis and treatment in the emergency department. We present a case of physiological shock in a 91-year-old woman resulting from obstruction of the left atrium and inferior vena cava by a giant esophageal hiatal hernia, identified using computed tomography imaging. The patient’s age and history, including diet and eating behavior (namely needing to lie down immediately after a meal), and kyphotic posture were important factors to consider in establishing the differential diagnosis. While rare, a giant esophageal hiatal hernia should be considered in the differential diagnosis of obstructive shock.