title: [A case of complex (type IV) paraesophageal hiatal hernia with herniation of the small intestine].
abstract: A 78-year-old woman was admitted to our hospital because of abdominal pain. She was diagnosed with complex (type IV) paraesophageal hiatal hernia, for which an operation was performed. At laparotomy, a 50 cm long ileum was found to have herniated into the thoracic cavity through the esophageal hiatus along with the sliding hiatal hernia of the stomach. Both the organs were reduced to the abdominal cavity. The hiatal hernia defect (diameter, 7cm) was repaired with a direct suture, and the gastric fundus was sutured to the diaphragm. Presently, 6 years have passed since the operation, there is no sign of recurrence.
authors.affiliation: Department of Surgery, Funabashi Central Hospital of Social Insurance, Funabashi, Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Ohtsuka
authors.forename: Takeshi
authors.initials: T
authors.lastname: Ogasawara
authors.forename: Shigeharu
authors.initials: S
authors.lastname: Nakano
authors.forename: Takashi
authors.initials: T
authors.lastname: Shida
authors.forename: Satoru
authors.initials: S
authors.lastname: Nomura
authors.forename: Yoshiharu
authors.initials: Y
authors.lastname: Sato
authors.forename: Makoto
authors.initials: M
authors.lastname: Takahashi
mesh_terms: D000368:Aged; D005260:Female; D005748:Gastric Fundus / Q000601:surgery; D006551:Hernia, Hiatal / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007082:Ileum / Q000473:pathology*; D016896:Treatment Outcome