title: Diaphragmatic hernia after Ivor-Lewis esophagectomy manifested as lower gastrointestinal bleeding.
abstract: Diaphragmatic hernia after esophageal resection is a recognized but rare complication. Parahiatal hernias may result from manipulation and extension of the crura during surgery. This can lead to a wide array of symptoms depending on the extent and organ that is herniated. A high index of suspicion is required because there is no one symptom that is specific for herniation. This report represents the first case of a patient presenting with lower gastrointestinal bleed from a parahiatal hernia after esophageal resection.
authors.affiliation: Department of Surgery, Eisenhower Army Medical Center, Fort Gordon, Georgia 30905, USA.
authors.forename: Y U
authors.initials: YU
authors.lastname: Choi
authors.forename: J H
authors.initials: JH
authors.lastname: North
mesh_terms: D000368:Aged; D001466:Barium Sulfate; D003108:Colonic Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D003287:Contrast Media / Q000737:chemistry; D004733:Enema; D016629:Esophagectomy / Q000009:adverse effects*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media; D001466:Barium Sulfate