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Case Reports
. 2024 Jul 12;16(7):e64417.
doi: 10.7759/cureus.64417. eCollection 2024 Jul.

Type IV Paraesophageal Hernia With Posterior and Inferior Rotation of the Stomach: A Case Report

Nicolas D Benelli  1 , Braxton Altom  1 , Jacqueline Gomez-Garzon  2 , Juan Matamoros  3 , Steven Perez-Bello  4 , Lissette Castellanos  5 , Carlos Bello  6
Affiliations
Case Reports

Type IV Paraesophageal Hernia With Posterior and Inferior Rotation of the Stomach: A Case Report

Nicolas D Benelli et al. Cureus. .

Abstract

This case report describes a patient with a large type IV hiatal hernia (HH), notable for exhibiting minimal symptoms, unlike typical cases of similar severity. The patient experienced only mild discomfort despite significant anatomical displacement, without severe symptoms often seen with such hernias. Diagnostic tests confirmed the herniated stomach, but the lack of severe symptoms like dysphagia defies usual expectations. This case highlights the variability in symptoms and clinical presentations of HH, stressing the need for tailored assessment and management for each patient.

Keywords: da vinci robotic system; gastric displacement; gastric herniation; hernia; paraesophageal hernia.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Preoperative anterior-posterior chest X-ray
The green arrow and green outline indicate the stomach.
Figure 2
Figure 2. Preoperative computed tomography
A: Sagittal view; B: coronal view; C: axial view; the green arrow and green outline indicate the stomach.
Figure 3
Figure 3. Postoperative chest X-ray after hernia repair
Figure 4
Figure 4. Postoperative computed tomography after hernia repair
A: Sagittal view; B: coronal view; C: axial view
See this image and copyright information in PMC

References

    1. Hiatal hernias. Dean C, Etienne D, Carpentier B, Gielecki J, Tubbs RS, Loukas M. Surg Radiol Anat. 2012;34:291–299. - PubMed
    1. Esophageal hiatal hernia: risk, diagnosis and management. Yu HX, Han CS, Xue JR, Han ZF, Xin H. Expert Rev Gastroenterol Hepatol. 2018;12:319–329. - PubMed
    1. Progression of hiatal hernias. Csucska M, Kovács B, Masuda T, Razia D, Bremner RM, Mittal SK. J Gastrointest Surg. 2021;25:818–820. - PubMed
    1. Hiatal hernias in patients with GERD-like symptoms: evaluation of dynamic real-time MRI vs endoscopy. Seif Amir Hosseini A, Uhlig J, Streit U, et al. Eur Radiol. 2019;29:6653–6661. - PubMed
    1. Giant hiatal hernias. Lesinski J, Zielonka TM, Wajtryt O, Peplinska K, Kaszynska A. Adv Respir Med. 2019;87:54–62. - PubMed

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