Type IV paraesophageal hernia as a cause of ileus: Report of a case

Abstract

HighlightsThis is an extremely rare case of type IV paraesophageal hernia (PEH) with small intestine loops bulging up into the thoracic cavity.The diagnosis of PEH is challenging and based mostly on the imaging findings.Symptoms vary from dyspnea, due to lung compression, to diffuse abdominal pain.In the emergency setting laparotomy should be performed without delay.

A Massive Para-Esophageal Hernia: An Unusual Cause of Tension Physiology Leading to Cardiac Arrest

“…Type IV para-esophageal hernia (PEH) are the rarest type of para-esophageal hernia 1 and are characterized by the herniation of a structure other than the stomach into the chest. The most often described organ is the transverse colon 1,2 ; however, the literature also documents cases of the pancreas, 2 small intestine, and spleen.…”

“…Type IV para-esophageal hernia (PEH) are the rarest type of para-esophageal hernia 1 and are characterized by the herniation of a structure other than the stomach into the chest. The most often described organ is the transverse colon 1,2 ; however, the literature also documents cases of the pancreas, 2 small intestine, and spleen. 3 PEH are due to defects in the phrenoesophageal membrane and increased laxity of the gastrosplenic and gastrocolic ligaments, allowing the migration of intra-abdominal organs into the hernia sac.…”