Other mediastinal main vascular structures were of normal caliber. Thorax CT: Pulmonary truncus was measured as 32 mm, right main pulmonary artery as 30 mm, left main pulmonary artery as 26 mm and was larger than normal. Hiatal hernia was suspected at the thorax x-ray and thorax CT was requested. Lasix 3*1 was started due to acute renal failure, after urine output lasix was reduced to 1*1 and renal function tests stabilized. Abdominal usg: dilatation of hepatic veins (secondary to heart failure?). When the arterial blood gas was seen as ph: 7.30 pco2: 83 hco3: 33 so2: 61 be: 14.4, the patient underwent bpap 12/6. The dose of euthyrox was increased and the patient started taking it alone in the morning. Laboratory tests revealed tsh: 0.56 t3: <1, t4: 0.68, and that the patient did not use her drug correctly. Close vital monitoring and anticoagulant treatment was started. The patient was hospitalized in January 2019 due to the high risk of pulmonary embolism in ventilation perfusion scintigraphy performed to investigate the etiology of pulmonary hypertension 2 months before routine admission to the outpatient clinic. The patient recently has been suffering from increased drowsiness.
The patient has been receiving oxygen therapy for an average of 15 hours per day for 5 years. The patient complained of dyspnea persisting during rest for 3-4 years and reported that she could not do her daily work. Case ReportĪ 79-year-old female patient with known HT, COPD and hypothyroidism was admitted to the outpatient clinic of chest diseases due to dyspnea. Here we tried to describe a case of hiatal hernia presenting with dyspnea. Hiatal hernia is an unusual cause of dyspnea. Less common causes include anxiety, hyperventilation syndrome, metabolic conditions (such as acidosis and anemia) and psychiatric disorders such as neuromuscular disorder. Cardiac and pulmonary causes are the most common causes.
Dyspnea can be a life-threatening symptom with many causes.
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