AI Summary & Key Takeaways
AI InsightWith this case, it was emphasized that in patients with shock clinic, hiatal hernia and gastrointestinal disease has to be keep in mind for differential diagnosis
📌 3 Key Takeaways
Abstract
Hiatal hernia is an uncommon disorder of childhood caused by developmental defect of diaphragm. The patients can be asymptomatic; however, respiratory and gastrointestinal system findings, and anemia may develop. In this paper, a two-year-old case with hiatal hernia whose admission findings were weak peripheral pulses, capillary refill time longer than 2 seconds, cardiac pulse 168/minute and rhythmic, and blood pressure 70/50 mm/Hg. Laboratory analysis revealed severe iron deficiency anemia, and a diagnosis of hiatal hernia was made with an incidentally detected free air over diaphragm on chest radiograph. With this case, it was emphasized that in patients with shock clinic, hiatal hernia and gastrointestinal disease has to be keep in mind for differential diagnosis
Özet
Hiatus hernisi diafragmanın gelişimsel defekti sonucu oluşan, çocukluk yaş grubunda ender olarak görülen bir durumdur. Hastalarda asemptomatik seyredebileceği gibi, solunum ve gastrointestinal sistem bulguları ve anemi görülebilir. Bu makalede başvurusunda periferik nabızlar zayıf, kapiller dolum zamanı 2 sn.'den uzun, kardiak nabız 168/dk. ve ritmik, kan basıncı 70/50 mmHg olan, tetkiklerinde ağır demir eksikliği anemisi saptanan, akciğer grafisinde diafragma üstünde serbest hava görülmesi ile hiatal herni tanısı alan iki yaşında bir erkek olgu sunulmuştur. Bu olgu nedeniyle şok tablosu ile başvuran derin anemili olgularda hiatus hernisi ve gastrointestinal sistem hastalıklarının ayırıcı tanıda akılda tutulması gerektiği vurgulanmıştır