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Review
. 2011 Feb;108(2):253-8.

[A case of parahiatal hernia with vomiting, and a review of the literature]

[Article in Japanese]
Hirokazu Doi  1 , Seiji Nakanishi, Soichi Ichikawa, Hirotaka Yamashita
Affiliations
  • PMID: 21307630
Review

[A case of parahiatal hernia with vomiting, and a review of the literature]

[Article in Japanese]
Hirokazu Doi et al. Nihon Shokakibyo Gakkai Zasshi. 2011 Feb.

Abstract

A parahiatal hernia, that occurs from muscular diaphragmatic defects causing separation from the esophageal hiatus, is rare. We treated a 68-year-old Japanese woman with the symptom of vomiting. Based on imaging studies (upper gastrointestinal studies, gastroscopy, contrast-enhanced computed tomography) we diagnosed parahiatal hernia. On laparoscopic surgery, the hernial orifice was separated from the esophageal hiatus and the crus of the diaphragm was between the hiatus and the orifice. We closed the hernial orifice with mesh. Parahiatal hernia is rare and is difficult to diagnose preoperatively. We present a case and the clinical discuss the characteristics and management of this rare disease.

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