Deborah Repullo Jennen, Eric Lebrun, Jean Lemaitre, Didier Hossey and Alexis Therasse
A 54 year-old woman with a history of giant type I hiatal hernia, severe asthma, and obstructive sleep apnea presented at the emergency room with epigastric pain. Abdominal CT scan showed a giant intrathoracic hiatal hernia and a massive pneumopericardium together with an image compatible with peptic ulcer perforation. Within 2 hours a surgical peptic ulcer repair was performed by thoracotomy in the 8th rib space and covered by a pericardial fat patch.
English 
Spanish 
Chinese 
Russian 
German 
French 
Japanese 
Portuguese 
Hindi