scholarly journals Case report: Type IV paraesophageal hernia

2015 ◽  
Vol 5 (1) ◽  
pp. 36-39
Author(s):  
Joshua Hefler
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Hiatal Hernia ◽  
Paraesophageal Hernia ◽  
Surgical Repair ◽  
Large Defect ◽  
Type Iv ◽  
Gastric Obstruction ◽  
Paraesophageal Hiatal Hernia ◽  
Over Time

This case report is about a 43 year old man, who presented with a large paraesophageal hiatal hernia. Hiatal hernias are common and often asymptomatic. However, this patient’s hernia was caused by a large defect in his diaphragm, into which his stomach, multiple loops of small bowel and even part of his colon had herniated, causing recurrent gastric obstruction. While this is a condition that develops slowly, over time in most patients, this case of hiatal hernia likely results from a congenital defect, given his relatively young age, the size of the defect and his associated anatomical abnormalities. This report details his presentation and surgical repair, complemented with corresponding images.

scholarly journals Struggling with a Gastric Volvulus Secondary to a Type IV Hiatal Hernia

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Dafnomilis George ◽  
Pappas V. Apostolos ◽  
Panoutsopoulos Athanasios ◽  
Lagoudianakis E. Emmanuel ◽  
Koronakis E. Nikolaos ◽  
...  
Keyword(s):  
Small Bowel ◽  
Hiatal Hernia ◽  
Paraesophageal Hernia ◽  
Gastric Volvulus ◽  
Emergency Operation ◽  
Esophageal Hiatus ◽  
Type Iv

Type IV hiatal hernias are characterized by herniation of the stomach along with associated viscera such as the spleen, colon, small bowel, and pancreas through the esophageal hiatus. They are relatively rare, representing only about 5%–7% of all hernias, and can be associated with severe complications. We report a 71-year-old veteran wrestler who presented to our department with a type IV paraesophageal hernia containing a gastric volvulus and treated successfully with emergency operation.

scholarly journals Abdome Agudo Obstrutivo por hérnia hiatal tipo IV – Um relato de caso / Obstructive acute abdomen for type IV hiatal hernia – A case report

2020 ◽  
Vol 3 (4) ◽  
pp. 10460-10469
Author(s):  
Gabriela Ribeiro de Oliveira ◽  
Felipe Sant'Maria Naques ◽  
Vivian Zampieri de Souza ◽  
Rodolpho Cesar Oliveira Mellem Kairala ◽  
Maria Clara Nobrega Pereira ◽  
...  
Keyword(s):  
Case Report ◽  
Hiatal Hernia ◽  
Acute Abdomen ◽  
Type Iv

Congenital paraesophageal hiatal hernia with intrathoracic gastric volvulus in an infant: a case report with radiographic sequence

2007 ◽  
Vol 24 (4) ◽  
pp. 467-470 ◽  
Author(s):  
Jiledar Rawat ◽  
Kumar A. Rashid ◽  
Shandip Kumar Sinha ◽  
Sarita Singh ◽  
Dhiraj Parihar
Keyword(s):  
Case Report ◽  
Hiatal Hernia ◽  
Gastric Volvulus ◽  
Paraesophageal Hiatal Hernia

Robotic Fundoplication for Gastroesophageal Reflux Disease and Hiatal Hernia: Initial Experience and Outcome

2018 ◽  
Vol 84 (12) ◽  
pp. 1945-1950 ◽  
Author(s):  
Massimo Arcerito ◽  
Eric Changchien ◽  
Monica Falcon ◽  
Mauricio A. Parga ◽  
Oscar Bernal ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Hiatal Hernia ◽  
Reflux Disease ◽  
Paraesophageal Hernia ◽  
Surgeon Experience ◽  
Sliding Hiatal Hernia ◽  
Common Clinical Presentation ◽  
Paraesophageal Hiatal Hernia ◽  
The Mean

Gastroesophageal reflux disease, associated with sliding or large paraesophageal hiatal hernia, represents a common clinical presentation. The repair of large paraesophageal hiatal hernias is still a challenge in minimally invasive surgery. Between March 2014 and August 2016, 50 patients (18 males and 32 females) underwent robotic fundoplication (17 sliding and 33 paraesophageal hernias). The mean age of the patients was 58 years. Biosynthetic mesh was used in 28 patients with paraesophageal hernia. The mean operative time was 115 minutes (90–132) in the sliding hiatal hernia group, whereas it was 200 minutes (180–210) in the paraesophageal hiatal hernia group. The mean hospital stay was 36 hours (24–96). Eight patients experienced mild dysphagia which resolved after four weeks. No postoperative dysphagia was recorded at 30-month median follow-up. We experienced one recurrence in the sliding hernia group and two recurrences in the paraesophageal hernia group, with two patients treated robotically. Robotic fundoplication in treating sliding hiatal hernia is feasible and safe but is more challenging in the large paraesophageal group. Improved patient outcomes hinge on the operative technique used and increasing surgeon experience. The increased dexterity that robotic surgery affords enables the esophageal surgeon to more adeptly apply the traditional principles of laparoscopic fundoplication.

Incarcerated paraoesophageal hernia complicated with distal oesophageal perforation: a combined laparoscopic and endoscopic approach

2021 ◽  
Vol 14 (4) ◽  
pp. e240780
Author(s):  
Tiago Correia de Sá ◽  
Jorge Silva ◽  
Carla Freitas
Keyword(s):  
Case Report ◽  
Hiatal Hernia ◽  
Surgical Repair ◽  
Oesophageal Perforation ◽  
High Grade ◽  
Upper Endoscopy ◽  
Distal Oesophagus ◽  
First Case ◽  
Life Threatening ◽  
Paraoesophageal Hernia

Paraoesophageal hernias are common, but symptoms are not always present nor pathognomonic of this condition, and patients may be suffering for many years before a diagnosis is made. Incarceration and strangulation are rare, but they are life-threatening complications, warranting an emergent surgical repair. Hiatal hernia incarceration causing distal oesophagus perforation is even rarer. To our knowledge, this is the first case report in adult patients. Despite many advances in care, a high grade of suspicion is needed to diagnose this condition, and the mortality rate for an oesophageal perforation remains high, achieving 50% in some series. We present the surgical management of a case of hiatal hernia incarceration with distal oesophagus perforation by combined laparoscopy and upper endoscopy.

Ascending aortic aneurysm and diaphragmatic hernia in a case of Marfan syndrome

2017 ◽  
Vol 25 (5) ◽  
pp. 378-380 ◽  
Author(s):  
Jignesh Kothari ◽  
Manish Hinduja ◽  
Kinnaresh Baria ◽  
Himani Pandya
Keyword(s):  
Aortic Aneurysm ◽  
Hiatal Hernia ◽  
Marfan Syndrome ◽  
Diaphragmatic Hernia ◽  
Rare Case ◽  
Surgical Repair ◽  
Gastrointestinal Involvement ◽  
Ascending Aortic Aneurysm ◽  
Diagnosis And Management ◽  
Type Iv

Marfan syndrome commonly affects the skeletal, ocular, and cardiovascular systems. Involvement of the gastrointestinal system is known but uncommon. Intervention depends upon the system involved and the severity of symptoms. Special awareness is required for the diagnosis and management of gastrointestinal involvement in these patients. We report a rare case of simultaneous surgical repair of an ascending aortic aneurysm and a type IV hiatal hernia in a 35-year-old man with Marfan syndrome.

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