Open AccessCase report: Type IV paraesophageal hernia
Author(s) -
Joshua Hefler
Publication year - 2015
Publication title -
university of ottawa journal of medicine
Language(s) - English
Resource type - Journals
eISSN - 2292-6518
pISSN - 2292-650X
DOI - 10.18192/uojm.v5i1.1278
Subject(s) - medicine , hiatal hernia , asymptomatic , presentation (obstetrics) , hernia , diaphragm (acoustics) , diaphragmatic hernia , general surgery , surgery , stomach , congenital diaphragmatic hernia , pregnancy , fetus , physics , disease , reflux , biology , acoustics , loudspeaker , genetics
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.