Sequential herniation of stomach, then colon through the aortic hiatus.
A patient with a large paraesophageal hernia had a Nissen fundoplication via laparoscopy. He returned a year later with the transverse colon herniated into the chest. At operation, the hernia ostium was found to be the aortic hiatus. We believe that the original ostium was missed because of the limited exposure of the video-laparoscopic technique.
Wagner
R B
RB
Department of Surgery, Shady Grove Adventist Hospital, Rockville, Md, USA.
Barry
M J
MJ
Manney
M S
MS
D000368:Aged; D000369:Aged, 80 and over; D001011:Aorta / Q000473:pathology*; D003108:Colonic Diseases / Q000209:etiology*; D018662:Fundoplication; D006547:Hernia / Q000209:etiology; D006548:Hernia, Diaphragmatic / Q000209:etiology*; D006551:Hernia, Hiatal / Q000601:surgery; D006801:Humans; D010535:Laparoscopy; D008297:Male; D011183:Postoperative Complications; D013272:Stomach Diseases / Q000209:etiology*; D014741:Video Recording