A Case of Ultrasound Diagnosis of Fetal Hiatal Hernia in Late Third Trimester of Pregnancy

Congenital hiatal hernia is a condition characterized by herniation of the abdominal organs, most commonly the stomach, through a physiological but overlax esophageal hiatus into the thoracic cavity. Prenatal diagnosis of this anomaly is unusual and only eight cases have been reported in the literature. In this paper we describe a case of congenital hiatal hernia that was suspected at ultrasound at 39 weeks’ gestation, on the basis of a cystic mass in the posterior mediastinum, juxtaposed to the vertebral body. Postnatal upper gastrointestinal tract series confirmed the prenatal diagnosis. Postnatal management was planned with no urgency. Hiatal hernia is not commonly considered in the differential diagnosis of fetal cystic chest anomalies. This rare case documents the importance of prenatal diagnosis of this anomaly for prenatal counseling and postnatal management.

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Surgical Management of Hiatal Hernia in Children with Asplenia Syndrome

European Journal of Pediatric Surgery ◽

10.1055/s-0036-1592135 ◽

2016 ◽

Vol 27 (03) ◽

pp. 274-279

Author(s):

Koji Fukumoto ◽

Masaya Yamoto ◽

Hiroshi Nouso ◽

Masakatsu Kaneshiro ◽

Mariko Koyama ◽

...

Keyword(s):

Hiatal Hernia ◽

Duodenal Obstruction ◽

Abdominal Cavity ◽

The Other ◽

Esophageal Hiatus ◽

Thoracic Cavity ◽

Toupet Fundoplication ◽

Cavity Volume ◽

Upper Gastrointestinal ◽

Asplenia Syndrome

Purpose Patients with asplenia syndrome (AS) are likely to have upper gastrointestinal tract malformations such as hiatal hernia. This report discusses the treatment of such conditions. Methods Seventy-five patients with AS underwent initial palliation in our institution between 1997 and 2013. Of these, 10 patients had hiatal hernia. Of the patients with hiatal hernia, 6 had brachyesophagus and 7 had microgastria. Results Of the 10 patients with hiatal hernia, 9 underwent surgery in infancy (7 before Glenn operation, 2 after Glenn operation). Two underwent typical Toupet fundoplication, and the other 7 underwent atypical repair including reduction of the stomach. Two patients with atypical repair showed recurrence of hernia and required reoperation. Three patients required reoperation due to duodenal obstruction. Duodenal obstruction occurred due to preduodenal portal vein or abnormal vessels compressing the duodenum. Obstructive symptoms were not seen in any cases preoperatively. Conclusions In patients with hiatal hernia, typical fundoplication is often difficult because most have concomitant brachyesophagus, microgastria, and hypoplasia of the esophageal hiatus. However, we should at least reduce the stomach to the abdominal cavity as early as possible to increase thoracic cavity volume and allow good feeding. Increasing the volume of the thoracic cavity thus makes Glenn and Fontan circulations more stable. Duodenal obstruction secondary to vascular anomalies is also common, so the anatomy in the area near the duodenum should be evaluated pre- and intraoperatively.

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One-Stage Laparoscopic Surgery for Pulmonary Sequestration and Hiatal Hernia in a 2-Year-Old Girl

European Journal of Pediatric Surgery Reports ◽

10.1055/s-0037-1612611 ◽

2018 ◽

Vol 06 (01) ◽

pp. e11-e14 ◽

Cited By ~ 2

Author(s):

Hisayuki Miyagi ◽

Shohei Honda ◽

Hiromi Hamada ◽

Masashi Minato ◽

Momoko Ara ◽

...

Keyword(s):

Computed Tomography ◽

Laparoscopic Surgery ◽

Hiatal Hernia ◽

Mediastinal Mass ◽

Pulmonary Sequestration ◽

Posterior Mediastinum ◽

Esophageal Hiatus ◽

Postoperative Course ◽

One Stage ◽

Extralobar Pulmonary Sequestration

AbstractWe herein report a case of one-stage laparoscopic surgery for extralobar pulmonary sequestration (EPS) and hiatal hernia. Our patient was a 2-year-old girl who was diagnosed as a mediastinal mass lesion. Postnatal computed tomography revealed that the mediastinal mass was an EPS. Two weeks after birth, the patient developed gastroesophageal reflux (GER), and esophagography showed a hiatal hernia. At 2 years of age, she underwent one-stage laparoscopic Nissen's fundoplication for GER with resection of the EPS in the posterior mediastinum. The sequestrated lung was grasped via the esophageal hiatus; three aberrant blood vessels were dissected to allow removal of the sequestration through the umbilical port site. The esophageal hiatus was repaired and Nissen's fundoplication was performed laparoscopically. The patient's postoperative course was uneventful, with no recurrence of GER symptoms for 1 year. We conclude that one-stage laparoscopic surgery is useful for patients with EPS and hiatal hernia.

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Paraesophageal Hernia as a Cause of Chronic Asymptomatic Anemia in a 6 Years Old Boy; Case Report and Review of the Literature

Acta Medica (Hradec Kralove Czech Republic) ◽

10.14712/18059694.2017.97 ◽

2017 ◽

Vol 60 (2) ◽

pp. 76-81

Author(s):

Dimitrios Patoulias ◽

Maria Kalogirou ◽

Thomas Feidantsis ◽

Ignatios Kallergis ◽

Ioannis Patoulias

Keyword(s):

Hiatal Hernia ◽

Paraesophageal Hernia ◽

Esophageal Hiatus ◽

Type Ii ◽

Hernia Sac ◽

Esophageal Hiatal Hernia ◽

Type Iv ◽

Abdominal Organs ◽

Total Fundoplication ◽

Sliding Hiatal Hernia

Esophageal hiatal hernia is defined as the prolapse of one or more intra-abdominal organs through the esophageal hiatus. Four types are identified: type Ι or sliding hiatal hernia, type II or paraesophageal hernia (PEH), type III or mixed hernia and type IV. Congenital type II esophageal hiatal hernia is caused by a remaining gap after the formation of pleuroperitoneal membrane. We present a case of a six years old boy admitted to our department, appearing with asymptomatic anemia, who was incidentally diagnosed with Type II esophageal hiatal hernia. After diagnostic investigation, the prolapsing stomach pouch was reduced, the hernia sac was excised, the crura of diaphragm were converged and a total fundoplication was performed, via open method. The patient had an uncomplicated postoperative period. We conclude that: 1) esophageal hiatal hernia should be included within diagnostic approach of a child with chronic non-hereditary anemia, 2) after a Type II esophageal hiatal hernia is diagnosed, a hernia repair surgery is indicated in short time, due to the severity of possible complications and 3) through the performance of total fundoplication, it is secured that the subdiaphragmatic abdominal part of esophagus will be retained, preventing the development of post-operative gastroesophageal reflux disease.

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SURGICAL TACTICS FOR LARGE AND GIANT ESOPHAGEAL HIATAL HERNIA

Grekov s Bulletin of Surgery ◽

10.24884/0042-4625-2018-177-4-63-66 ◽

2018 ◽

Vol 177 (4) ◽

pp. 63-66 ◽

Cited By ~ 1

Author(s):

D. M. Cherkasov ◽

M. F. Cherkasov ◽

V. K. Tat’yanchenko ◽

Yu. M. Starcev ◽

S. G. Melikova ◽

...

Keyword(s):

Surgical Treatment ◽

Hiatal Hernia ◽

Postoperative Period ◽

Posterior Mediastinum ◽

Esophageal Hiatus ◽

Intraoperative Bleeding ◽

Esophageal Hiatal Hernia ◽

Surgical Tactics ◽

Mesh Implant

The OBJECTIVE is to improve the results of surgical treatment of patients with large and giant EHH. MATERIAL AND METHODS. We present our experience of surgical treatment of 25 patients with large and giant EHH, who underwent laparoscopic interventions according to the original technique, which consisted in the method of plasty of esophageal hiatus: the mesh implant was installed and fixed in the posterior mediastinum above the diaphragm. RESULTS. Intraoperative bleeding was noted in 2 (8 %) patients, which did not require conversion. In the near postoperative period, no complications were noted. In the long-term periods from 1 to 5 years, there was no recurrence of EHH and complications associated with the use of mesh implant. CONCLUSION. Videoendosurgical interventions are the operations of choice in the treatment of patients with large and giant EHH. The most effective method of plasty for large and giant EHH is the combined plasty of the esophageal hiatus by a mesh implant in combination with a posterior cruroraphy, with the installation and fixation of the mesh implant in the posterior mediastinum above the cruses of diaphragm.

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Experience of prenatal diagnosis of true knots of the umbilical cord during ultrasound examination in the third trimester of gestation

10.21516/2413-1458-2019-18-2-127-132 ◽

2019 ◽

Author(s):

M.Y. Morozova, V.V. Zotov, M.S. Kovalenko et all

Keyword(s):

Prenatal Diagnosis ◽

Umbilical Cord ◽

Ultrasound Examination ◽

Technological Advance ◽

Prenatal Ultrasound ◽

Ultrasound Diagnosis ◽

Review Of The Literature ◽

Third Trimester ◽

The Third

Despite the rapid technological advance, the expansion of prenatal ultrasound diagnosis, as well as the accumulation of experience by both domestic and foreign experts, prenatal recognition of true knots of the umbilical cord causes significant difficulties. Three cases of successful ultrasound diagnosis of true knots of the umbilical cord and brief review of the literature are presented.

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Prenatal diagnosis of juxtaposition of the right atrial appendage before the third trimester of pregnancy. Importance of the 4 chamber plane

Progress in Pediatric Cardiology ◽

10.1016/j.ppedcard.2016.10.002 ◽

2016 ◽

Vol 43 ◽

pp. 147-149 ◽

Cited By ~ 1

Author(s):

Carolina Blanco Rodríguez ◽

Victor Bautista Hernández ◽

Fernando Rueda Nuñez

Keyword(s):

Prenatal Diagnosis ◽

Atrial Appendage ◽

Right Atrial ◽

Third Trimester ◽

The Third ◽

Right Atrial Appendage ◽

The Right

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Sandifer Syndrome

10.36502/2021/asjpch.6165 ◽

2021 ◽

Vol 3 (1) ◽

pp. 30-32

Author(s):

Juan Gomez

Keyword(s):

Iron Deficiency ◽

Gastroesophageal Reflux ◽

Children And Adolescents ◽

Hiatal Hernia ◽

Iron Deficiency Anemia ◽

Gastrointestinal Disorder ◽

Deficiency Anemia ◽

Neurological Manifestations ◽

Upper Gastrointestinal

Sandifer syndrome, named after neurologist Paul Sandifer, was first reported by Marcel Kinsbourne in 1962, who noted an upper gastrointestinal disorder that occurs in children and adolescents with neurological manifestations. Sandifer syndrome is a neurobehavioral disorder that causes a series of paroxysmal dystonic movements in association with gastroesophageal reflux and, in some cases, with hiatal hernia. It is characterized by esophagitis, iron deficiency anemia, and is often mistaken for a seizure of epileptic origin.

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