J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text HTML] [Full Text PDF] （in Japanese / 416KB） [Members Only]

J.Jpn. Surg. Soc.. 113(1): 58-61, 2012

Case report

A CASE OF COMPLEX (TYPE IV) PARAESOPHAGEAL HIATAL HERNIA WITH HERNIATION OF THE SMALL INTESTINE

Department of Surgery, Funabashi Central Hospital of Social Insurance, Funabashi, Japan

Yasuhiro Ohtsuka, Takeshi Ogasawara, Shigeharu Nakano, Takashi Shida, Satoru Nomura, Yoshiharu Sato, Makoto Takahashi

A 78-year-old woman was admitted to our hospital because of abdominal pain. She was diagnosed with complex (type IV) paraesophageal hiatal hernia, for which an operation was performed. At laparotomy, a 50cm long ileum was found to have herniated into the thoracic cavity through the esophageal hiatus along with the sliding hiatal hernia of the stomach. Both the organs were reduced to the abdominal cavity. The hiatal hernia defect (diameter, 7cm) was repaired with a direct suture, and the gastric fundus was sutured to the diaphragm. Presently, 6 years have passed since the operation, there is no sign of recurrence.

<< To previous page

To read the PDF file you will need Adobe Reader installed on your computer.