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Noninvasive Positive Pressure Ventilation (NIPPV)-Associated Expanding Hiatal Hernia Causing Pulmonary Tamponade: A Case Report on Unusual Complication of NIPPV

Numerous diseases related to gastric distension have been found and shown to be linked with noninvasive positive pressure ventilation (NIPPV). We describe the case of a 93-year-old female who came with progressively worsening shortness of breath that initially responded to NIPPV but subsequently det...

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Autores principales: Jain, Ashish, Mumtaz, Maha, Hussain, Khandakar M, Butt, Asfandyar, Pan, Zonghao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9203265/
https://www.ncbi.nlm.nih.gov/pubmed/35719817
http://dx.doi.org/10.7759/cureus.25069
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author Jain, Ashish
Mumtaz, Maha
Hussain, Khandakar M
Butt, Asfandyar
Pan, Zonghao
author_facet Jain, Ashish
Mumtaz, Maha
Hussain, Khandakar M
Butt, Asfandyar
Pan, Zonghao
author_sort Jain, Ashish
collection PubMed
description Numerous diseases related to gastric distension have been found and shown to be linked with noninvasive positive pressure ventilation (NIPPV). We describe the case of a 93-year-old female who came with progressively worsening shortness of breath that initially responded to NIPPV but subsequently deteriorated. Imaging revealed gaseous distension of a preexisting hiatal hernia with air-fluid levels and compressive effects on the left lower lobe of the lung. She was successfully managed using a conservative decompression strategy. This is the first case to our knowledge of NIPPV causing considerable distension of an existing hiatal hernia to the point of mediastinal tamponade.
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spelling pubmed-92032652022-06-17 Noninvasive Positive Pressure Ventilation (NIPPV)-Associated Expanding Hiatal Hernia Causing Pulmonary Tamponade: A Case Report on Unusual Complication of NIPPV Jain, Ashish Mumtaz, Maha Hussain, Khandakar M Butt, Asfandyar Pan, Zonghao Cureus Internal Medicine Numerous diseases related to gastric distension have been found and shown to be linked with noninvasive positive pressure ventilation (NIPPV). We describe the case of a 93-year-old female who came with progressively worsening shortness of breath that initially responded to NIPPV but subsequently deteriorated. Imaging revealed gaseous distension of a preexisting hiatal hernia with air-fluid levels and compressive effects on the left lower lobe of the lung. She was successfully managed using a conservative decompression strategy. This is the first case to our knowledge of NIPPV causing considerable distension of an existing hiatal hernia to the point of mediastinal tamponade. Cureus 2022-05-17 /pmc/articles/PMC9203265/ /pubmed/35719817 http://dx.doi.org/10.7759/cureus.25069 Text en Copyright © 2022, Jain et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Jain, Ashish
Mumtaz, Maha
Hussain, Khandakar M
Butt, Asfandyar
Pan, Zonghao
Noninvasive Positive Pressure Ventilation (NIPPV)-Associated Expanding Hiatal Hernia Causing Pulmonary Tamponade: A Case Report on Unusual Complication of NIPPV
title Noninvasive Positive Pressure Ventilation (NIPPV)-Associated Expanding Hiatal Hernia Causing Pulmonary Tamponade: A Case Report on Unusual Complication of NIPPV
title_full Noninvasive Positive Pressure Ventilation (NIPPV)-Associated Expanding Hiatal Hernia Causing Pulmonary Tamponade: A Case Report on Unusual Complication of NIPPV
title_fullStr Noninvasive Positive Pressure Ventilation (NIPPV)-Associated Expanding Hiatal Hernia Causing Pulmonary Tamponade: A Case Report on Unusual Complication of NIPPV
title_full_unstemmed Noninvasive Positive Pressure Ventilation (NIPPV)-Associated Expanding Hiatal Hernia Causing Pulmonary Tamponade: A Case Report on Unusual Complication of NIPPV
title_short Noninvasive Positive Pressure Ventilation (NIPPV)-Associated Expanding Hiatal Hernia Causing Pulmonary Tamponade: A Case Report on Unusual Complication of NIPPV
title_sort noninvasive positive pressure ventilation (nippv)-associated expanding hiatal hernia causing pulmonary tamponade: a case report on unusual complication of nippv
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9203265/
https://www.ncbi.nlm.nih.gov/pubmed/35719817
http://dx.doi.org/10.7759/cureus.25069
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