Volvulus of the stomach--an unusual cause of pulsus paradoxus.
نویسندگان
چکیده
A patient with a strangulated diaphragmatic hernia presented as an emergency and was noted to have pulsus paradoxus. The mechanism of this physical sign, previously unrecorded in association with an intrathoracic hernia, is discussed.
منابع مشابه
Signs Volvulus of the stomach - an unusual cause of pulsus
A 48 year old man was referred to the Cardio-Thoracic Unit with a provisional diagnosis of an acute aortic dissection. He gave a history of sudden onset of severe upper abdominal pain radiating to the left shoulder, and had vomited twice. On initial questioning there was no history oftrauma, recent or remote, but he had undergone vagotomy and pyloroplasty 12 years previously for duodenal ulcer....
متن کاملPulsus paradoxus.
Systolic blood pressure normally falls during quiet inspiration in normal individuals. Pulsus paradoxus is defined as a fall of systolic blood pressure of >10 mmHg during the inspiratory phase. Pulsus paradoxus can be observed in cardiac tamponade and in conditions where intrathoracic pressure swings are exaggerated or the right ventricle is distended, such as severe acute asthma or exacerbatio...
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متن کاملMechanism of pulsus paradoxus in clinical shock.
An inspiratory fall in systolic arterial pressure of more than 10 mm Hg (pulsus paradoxus) was noted in 30 of 61 patients with shock. Inspiratory right atrial pressures and total blood volumes were significantly lower in patients with pulsus paradoxus. Rapid infusion of dextran in 22 patients usually was effective in reversing the exaggerated inspiratory fall in systolic pressure. Total periphe...
متن کاملWandering spleen with torsion causing pancreatic volvulus and associated intrathoracic gastric volvulus. An unusual triad and cause of acute abdominal pain.
CONTEXT Wandering spleen is a rare medical entity in which the spleen is orphaned of its usual peritoneal attachments and thus assumes an ever wandering and hypermobile state. This laxity of attachments may even cause torsion of the splenic pedicle. Both gastric volvulus and wandering spleen share a common embryology owing to maldevelopment of the dorsal mesentery. Gastric volvulus complicating...
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ورودعنوان ژورنال:
- Postgraduate medical journal
دوره 62 727 شماره
صفحات -
تاریخ انتشار 1986