A case of swallow syncope with transient congestive liver caused by esophageal dilatation associated with huge hiatal hernia

Hirotaka Tsuru, Keishi Komori, Masafumi Wada, Youichiro Iboshi, Yorinobu Sumida, Tsuyoshi Yoshimoto, Eikichi Ihara, Naohiko Harada, Makoto Nakamuta, Yoshihiro Ogawa

Research output: Contribution to journalArticlepeer-review

Abstract

A 76-year-old woman suffered from repeated postprandial syncope of unknown cause. Computed tomography scanning revealed an enlarged hiatal hernia sac with food residues that compressed both the left atrium and inferior vena cava. As soon as the hernia cavity expanded during an upper gastrointestinal X-ray examination, she experienced a deterioration of her level of consciousness. Therefore, we diagnosed her of a swallow syncope due to left atrium compression by the huge hernia sac. The sac also compressed the inferior vena cava, and she experienced a transient elevation of her hepatobiliary enzyme level probably due to the influence of the congestive liver. Thus, clinicians should always keep this condition in mind when encountering patients with post-meal syncope.

Original languageEnglish
Pages (from-to)907-913
Number of pages7
JournalJournal of Japanese Society of Gastroenterology
Volume117
Issue number10
DOIs
Publication statusPublished - Oct 10 2020

All Science Journal Classification (ASJC) codes

  • Gastroenterology

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