TY - JOUR
T1 - A case of swallow syncope with transient congestive liver caused by esophageal dilatation associated with huge hiatal hernia
AU - Tsuru, Hirotaka
AU - Komori, Keishi
AU - Wada, Masafumi
AU - Iboshi, Youichiro
AU - Sumida, Yorinobu
AU - Yoshimoto, Tsuyoshi
AU - Ihara, Eikichi
AU - Harada, Naohiko
AU - Nakamuta, Makoto
AU - Ogawa, Yoshihiro
N1 - Publisher Copyright:
© 2020 Japanese Society of Gastroenterology. All rights reserved.
PY - 2020/10/10
Y1 - 2020/10/10
N2 - 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.
AB - 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.
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U2 - 10.11405/nisshoshi.117.907
DO - 10.11405/nisshoshi.117.907
M3 - Article
C2 - 33041302
AN - SCOPUS:85092752656
VL - 117
SP - 907
EP - 913
JO - Japanese Journal of Gastroenterology
JF - Japanese Journal of Gastroenterology
SN - 0446-6586
IS - 10
ER -