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550 Inguinal hernia. 550.9 Hernia, inguinal, NOS, unilateral; 551 Other hernia of abdominal cavity, with gangrene; 552 Other hernia of abdominal cavity with obstruction, without mention; 553 Other hernia of abdominal cavity without mention of obstruction 553.0 Hernia, femoral, unilateral; 553.1 Hernia, umbilical; 553.2 Hernia, ventral, unspec.
A hiatal hernia or hiatus hernia [2] is a type of hernia in which abdominal organs (typically the stomach) slip through the diaphragm into the middle compartment of the chest. [1] [3] This may result in gastroesophageal reflux disease (GERD) or laryngopharyngeal reflux (LPR) with symptoms such as a taste of acid in the back of the mouth or heartburn.
Gastric outlet obstruction (GOO) is a medical condition where there is an obstruction at the level of the pylorus, which is the outlet of the stomach. Individuals with gastric outlet obstruction will often have recurrent vomiting of food that has accumulated in the stomach, but which cannot pass into the small intestine due to the obstruction.
Double indirect hernia: an indirect inguinal hernia with two hernia sacs, without a concomitant direct hernia component (as seen in a pantaloon hernia). [26] Hiatus hernia: a hernia due to "short oesophagus" — insufficient elongation — stomach is displaced into the thorax; Littre's hernia: a hernia involving a Meckel's diverticulum.
The actual site of obstruction is always at or below the level at which the level of obstruction is perceived. [ citation needed ] The most common symptom of esophageal dysphagia is the inability to swallow solid food, which the patient will describe as 'becoming stuck' or 'held up' before it either passes into the stomach or is regurgitated.
Once a distinction has been made between a motility problem and a mechanical obstruction, it is important to note whether the dysphagia is intermittent or progressive. An intermittent motility dysphagia likely can be diffuse esophageal spasm (DES) or nonspecific esophageal motility disorder (NEMD).
Normal peristalsis with an obstruction at the esophagogastric junction (elevated IRP) is consistent with EGJOO. [3] Upper endoscopy is used to evaluate for mechanical causes of obstruction. [2] Endoscopic findings may include a hiatal hernia, esophagitis, strictures, tumors, or masses. [2]
Internal hernias occur when there is protrusion of an internal organ into a retroperitoneal fossa or a foramen (congenital or acquired) in the abdominal cavity.If a loop of bowel passes through the mesenteric defect, that loop is at risk for incarceration, strangulation, or for becoming the lead point of a small bowel obstruction. [1]