CASE REPORT   

Chirurgia 2022 February;35(1):61-6

DOI: 10.23736/S0394-9508.21.05261-X

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Voluminous hiatal hernia with herniation in the mediastinum of the pylorus and I portion of the duodenum: multidisciplinary approach and treatment

Pietro CUMBO ¹ ✉, Gabriella CAVALOT ², Rodolfo ROCCA ³, Francesco POTENTE ⁴, Carlo PALENZONA ⁴, Stefano CAVANNA ², Mariangela AZZELLINO ⁵, Luca B. LO PICCOLO ⁵

¹ Service of General Surgery, ASL TO5, Moncalieri, Turin, Italy; ² Service of Radiology, ASL TO5, Moncalieri, Turin, Italy; ³ Service of Gatroenterology, Ordine Mauriziano Hospital, Turin, Italy; ⁴ Service of Surgery, ASL TO5, Moncalieri, Italy; ⁵ Department of Surgical Sciences, University of Turin, Turin, Italy

Hiatal hernia is an increasingly frequent pathology. The clinical case demonstrates how a voluminous hiatal hernia in an elderly patient with multiple comorbidities can be difficult to manage. Surgical treatment, which is the standard in an emergency regime, is often characterized by postoperative complications. These complications can be treated with a multidisciplinary approach, involving different specialists such as radiologists and endoscopists. The multidisciplinary approach is fundamental in the resolution of complex clinical cases.

KEY WORDS: Hiatal hernia; Gastroesophageal reflux; Mediastinum; Operative surgical procedures