Sequential herniation of stomach, then colon through the aortic hiatus

Sequential herniation of stomach, then colon through the aortic hiatus

A patient with a large paraesophageal hernia had a Nissen fundoplication via laparoscopy. He returned a year later with the transverse colon herniated into the chest. At operation, the hernia ostium was found to be the aortic hiatus. We believe that the original ostium was missed because of the limi...

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Bibliographic Details
Published in:Southern medical journal (Birmingham, Ala.) Vol. 90; no. 3; pp. 338 - 340
Main Authors: WAINER, R. B, BARRY, M. J, MANNEY, M. S
Format: Journal Article
Language:English
Published: Hagerstown, MD Lippincott Williams & Wilkins 01-03-1997
Subjects:
Aged
Aged, 80 and over
Aorta - pathology
Biological and medical sciences
Colonic Diseases - etiology
Fundoplication
Gastroenterology. Liver. Pancreas. Abdomen
Hernia - etiology
Hernia, Diaphragmatic - etiology
Hernia, Hiatal - surgery
Humans
Laparoscopy
Male
Medical sciences
Other diseases. Semiology
Postoperative Complications
Stomach Diseases - etiology
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Human
Respiratory disease
Thorax
Colonic disease
Case study
Hernia
Treatment
Paraesophageal hernia
Surgery
Digestive diseases
Complication
Colon
Repair
Gastric disease
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Description
Summary:A patient with a large paraesophageal hernia had a Nissen fundoplication via laparoscopy. He returned a year later with the transverse colon herniated into the chest. At operation, the hernia ostium was found to be the aortic hiatus. We believe that the original ostium was missed because of the limited exposure of the video-laparoscopic technique.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:0038-4348
1541-8243
DOI:10.1097/00007611-199703000-00016