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Ann Thorac Surg 2000;70:1727-1728
© 2000 The Society of Thoracic Surgeons

Case report

Splenic rupture as a consequence of giant paraesophageal hernia

Michael F. Szwerc, MDa, Rodney J. Landreneau, MDa

a Division of General Thoracic Surgery, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA

Address reprint requests to Dr Landreneau, Division of General Thoracic Surgery, Allegheny General Hospital, 320 East North Ave, Pittsburgh, PA 15212
e-mail: rlandren{at}pgh.auhs.edu

Elective surgical repair of "giant" paraesophageal hernias is recommended to prevent the potential complications of gastric volvulus, obstruction, and ischemic perforation. We report the unusual complication of splenic capsular laceration and hemorrhagic shock following forceful retching by a patient with an incarcerated paraesophageal hernia.






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