Acute bolus obstruction following surgical treatment of paraesophageal herniation of the greater omentum.
Journal
Journal of surgical case reports
ISSN: 2042-8812
Titre abrégé: J Surg Case Rep
Pays: England
ID NLM: 101560169
Informations de publication
Date de publication:
May 2021
May 2021
Historique:
received:
15
02
2021
revised:
24
04
2021
accepted:
05
05
2021
entrez:
31
5
2021
pubmed:
1
6
2021
medline:
1
6
2021
Statut:
epublish
Résumé
Hiatal herniations are most commonly diagnosed during work-up for gastroesophageal reflux disease. Here, we present a patient with retrosternal pain for whom the computed tomography scan showed a lipomatous formation in the lower posterior mediastinum, and further examination indicated the origin to be paraesophageal herniation (PEH) of the greater omentum. This was confirmed by laparoscopy, the herniated part of the greater omentum was repositioned and the hiatal hernia was repaired. During recovery the patient complained of dysphagia, a common and transient postoperative occurrence, but which later proved to be a mechanical obstruction caused by a bolus. This case raises awareness of potential differential diagnoses pre- and postoperatively in conjunction with PEH, and the management of such differential diagnoses is discussed.
Identifiants
pubmed: 34055295
doi: 10.1093/jscr/rjab208
pii: rjab208
pmc: PMC8159269
doi:
Types de publication
Case Reports
Langues
eng
Pagination
rjab208Informations de copyright
Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2021.
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