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Case Reports
. 2016 Jul;98(6):e103-5.
doi: 10.1308/rcsann.2016.0154. Epub 2016 May 31.

Recurrence after composite repair of a giant hiatus hernia: 'the golf club' deformity is a distinctive clinical and radiological picture

R V Furtado  1 , G L Falk  1   2 , S J Vivian  3
Affiliations
Case Reports

Recurrence after composite repair of a giant hiatus hernia: 'the golf club' deformity is a distinctive clinical and radiological picture

R V Furtado et al. Ann R Coll Surg Engl. 2016 Jul.

Abstract

Background Recurrence of a hiatus hernia after cardiopexy repair can obstruct the lower oesophagus but also provide characteristic radiographic images after a barium meal. Case History Two patients with recurrence of a hiatus hernia underwent repeat surgery. Here, we provide and discuss diagnostic imaging, surgical findings and outcome for these male and female patients. Conclusions Repeat surgery is indicated in patients with recurrence of a hiatus hernia after repair.

Keywords: Composite repair; Hiatus hernia; PEH; Recurrence.

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Figures

Figure 1
Figure 1
Construction of the composite fundoplication
Figure 2
Figure 2
Erect, anteroposterior barium oesophagogram showing a recurrent hiatal hernia in patient 1. The body of the stomach has telescoped through the wrap (arrow) to lie within the chest (arrowhead). The image suggests that the cardio-oesophageal junction is in the mediastinum, but this appearance did not correspond with surgical findings.
Figure 3
Figure 3
Erect, lateral barium oesophagogram in patient 1 showing a characteristic ‘golf club’ appearance.
Figure 4
Figure 4
Erect lateral barium oesophagogram of patient 2 showing recurrence of a hiatal hernia. The cardio-oesophageal junction appears to be in the mediastinum (small arrow). The posterior fundoplication wrap is intact (large arrow) but anterior failure of the hiatus is noted.
See this image and copyright information in PMC

References

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