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A Journal on Surgery

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Chirurgia 2007 February;20(1):55-6

language: English

Hiatal hernia with intrathoracic stomach and obstructed colon

Maternini M., Halkic N.

Department of General Surgery University Hospital of Lausanne, Switzerland


Herniation of the large bowel trough the oesophageal hiatus is very rare. It has been reported only twice. A 80 year old woman with a 2 weeks history of progressively dispnoea, vomiting and maelena. Chest x-ray film showed an up side down stomach. The initial treatment was medical, but she was progressely worse and we decided to operate. We founded a herniation of the estomach and transverse colon. The necrosis of the transverse wall we obliged us to converted the initial laparscopy approach to laparotomy approach. We perform a resection of the transverse colon. And cure of the hiatus hernia with gastropexy. The patient developed a gastric hemorrage in the 6 and 15 day after surgical treatment caused by gastric ulcer. The 16 day she developed a pneumoperitoneum and pneumomediastinum and she died. This defect most likely represent a congenital deformity of the diaphragm with intact posterior gastric attachements This case report is the second case described that it was necessary to perform a segmental resection of the herniated colon.

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