Shock vitals with collapsed jugular vein and overdistended inferior vena cava due to hiatal herniation: A case report.

Abstract

A hiatal herniation, which is a common disease worldwide, is associated with various complications. However, hiatal herniation has rarely been reported to cause life-threatening complications in emergency settings. We report a rare case of a patient in shock with collapsed jugular veins and an overdistended inferior vena cava upon transabdominal ultrasonography. The patient was ultimately diagnosed with obstructive shock with inferior vena cava compression attributed to hiatal herniation upon imaging. Clinicians should consider the possibility that hiatal herniation can cause obstructive shock with inferior vena cava compression and take immediate steps to stabilize the vital signs.