Laparoscopic mesh repair and Toupet fundoplication for parahiatal hernia complicated by sliding hiatal hernia: A case report

Muramatsu, Risa; Nobuoka, Takayuki; Itô, Tatsuya; Ogawa, Tadashi; Korai, Takahiro; Takemasa, Ichiro

doi:10.1016/j.ijscr.2022.107664

Cited by 4 publications

(3 citation statements)

References 17 publications

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“…In the present case, if we had identified the existence of tissue between the hernial orifice and the esophageal hiatus using preoperative imaging, a definite diagnosis could have been made. To date, few case reports of parahiatal hernias diagnosed preoperatively using CT or MRI, have been published [6,7]. In our case, a definite diagnosis was established based on intraoperative findings.…”

Section: Discussionmentioning

confidence: 75%

“…In diaphragm embryogenesis, the mature diaphragm is derived from many embryonic elements, such as the septum transversum and pleuroperitoneal membrane [2]. In adults, an esophageal hernia can be associated with a parahiatal hernia, as reported by Muramatsu et al [7]. In the presence of both hernias, fundoplication should be performed using the Toupet procedure.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic repair of a primary parahiatal hernia combined with gastric volvulus: a case report and literature review

Muramatsu,

Amaike,

Ogura

et al. 2024

surg case rep

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Background Parahiatal hernias present a hernial orifice at the diaphragm that is adjacent to the esophageal hiatus, differing from the paraesophageal type of hiatal hernias. Although diagnostic imaging has advanced in recent years, diagnosing parahiatal hernias remains challenging. We herein report a case in which we performed laparoscopic surgery and intraoperatively diagnosed a parahiatal hernia. Case presentation A 67-year-old man presented to our hospital with difficulty eating, epigastric pain, and vomiting. We suspected a paraesophageal hiatal hernia. Laparoscopic surgery was performed, and a diagnosis of parahiatal hernia was made. We closed the hernial orifice with direct simple closure using nonabsorbable threads. The patient’s postoperative recovery course was reasonable, and he was discharged on the twelfth postoperative day. Conclusions Parahiatal hernias are rare, and a definitive diagnosis is difficult. Laparoscopic surgery can help accurately diagnose and treat patients presenting with the condition.

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Laparoscopic repair of a primary parahiatal hernia combined with gastric volvulus: a case report and literature review

Muramatsu,

Amaike,

Ogura

et al. 2024

surg case rep

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“…It is also essential to recognise that parahiatal hernia and sliding hiatal hernia can present simultaneously, as in our patient. Muramatsu et al identified nine cases out of 20 where the primary parahiatal hernia was present along with a sliding hiatal hernia, which ranged from 4 cm to 5.5 cm in size [ 10 ]. Notably, either Nissen or partial wrap (anterior/posterior) fundoplication was performed for all cases with sliding hiatal hernia [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Unusual Presentation of Incarcerated True Parahiatal Hernia: Management of a Rare Clinical Entity

Loo,

Muthkumaran,

Ritza Kosai

2024

Cureus

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True parahiatal hernia is a type of diaphragmatic hernia in which herniation occurs through a defect in the diaphragm, adjacent to the normal oesophageal hiatus. Its reported incidence is very rare, and it is commonly misdiagnosed as paraoesophageal hernia. Although the clinical distinction between paraoesophageal and parahiatal hernia is difficult, it is essential to recognise these two separate entities clinically as their management differs. Clinical presentation of parahiatal hernia includes symptoms related to gastro-oesophageal reflux disease (GERD). Patients may also present emergently with symptoms of respiratory distress and chest symptoms. With that in mind, we describe a compelling case of a young lady who initially presented with symptoms suggestive of acute coronary syndrome. However, she was found to have an incarcerated parahiatal hernia.

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Surgical repair for a parahiatal hernia with an esophageal hiatal hernia: A case report and literature review

Takahashi,

Noma,

Hashimoto

et al. 2024

International Journal of Surgery Case Reports

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Laparoscopic mesh repair and Toupet fundoplication for parahiatal hernia complicated by sliding hiatal hernia: A case report

Cited by 4 publications

References 17 publications

Laparoscopic repair of a primary parahiatal hernia combined with gastric volvulus: a case report and literature review

Laparoscopic repair of a primary parahiatal hernia combined with gastric volvulus: a case report and literature review

Unusual Presentation of Incarcerated True Parahiatal Hernia: Management of a Rare Clinical Entity

Surgical repair for a parahiatal hernia with an esophageal hiatal hernia: A case report and literature review

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