Table of Contents
Diagnostic and Therapeutic Endoscopy
Volume 2008, Article ID 257185, 2 pages
Case Report

The Hole in the Stomach

1Department of Internal Medicine II, University of Leipzig, Leipzig 04103, Germany
2Department of Surgery II, University of Leipzig, Leipzig 04103, Germany

Received 8 May 2007; Accepted 9 October 2007

Academic Editor: James Evans

Copyright © 2008 Hans Bödeker et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A 57 year old woman was presented to the emergency department with upper abdominal pain and left sided chest discomfort. No cardiac or pulmonary cause could be determined and the patient underwent upper gastrointestinal endoscopy. Inversion of the scope to the fundus and subsequent fluoroscopy revealed a diaphragmatic hernia with a large herniation of the gastric fundus. Immediate laparotomy showed a 3 cm orifice of the diaphragm. The orifice was widened and a partial necrosis of the incarcerated fundus was resected. The patient recovered fully and was discharged 12 days after laparotomy.