title: Paraesophageal hernia with incarceration of the gastric antrum and duodenal bulb: a case report.
abstract: BACKGROUND
  In cases of esophageal hernia, incarceration of peritoneal organs other than the stomach is rare.
  
  
  METHODS
  An 84-year-old female was admitted to our institution with a complaint of nausea and vomiting. Abdominal computed tomography revealed an esophageal hiatal hernia with incarceration of the gastric antrum and duodenal bulb. Gastrofluorography under gastroendoscopy confirmed prolapse of the antrum and duodenal bulb into the esophageal hernial sac. Although gastroendoscopy guided repositioning of the prolapsed organs was successful, reprolapse occurred immediately. Therefore, surgical treatment was indicated. The gastric antrum and duodenal bulb were associated with a paraesophageal hernia. Therefore, they were repositioned, and passage from the duodenal bulb to the descending portion of the duodenum was improved.
  
  
  CONCLUSIONS
  We report a rare case of paraesophageal hernia with incarceration of the gastric antrum and duodenal bulb.
authors.affiliation: Department of Gastroenterology, Kawasaki Hospital, 3-3-1, Higashiyama-cho, Kobe, Hyogo 652-0042, Japan. takeuchi_nobuhiro@kawasaki-hospital-kobe.or.jp.
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Takeuchi
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Nomura
mesh_terms: D000369:Aged, 80 and over; D004384:Duodenoscopy; D004386:Duodenum / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005260:Female; D005773:Gastroscopy; D006551:Hernia, Hiatal / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D011706:Pyloric Antrum / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011859:Radiography; D016896:Treatment Outcome