Alejandro Rodriguez, MD, Rebecca G Lopez, MD, Dustin G Cummings, Andrew S Wright, MD, Brant K Oelschlager, MD. University of Washington
We present the case of a 68-year-old female referred for evaluation of paraesophageal hernia. Her symptoms included abdominal pain, early satiety, and weight loss. Abdominal CT and UGI films suggested a type II paraesophageal hernia. Operatively, parahiatal hernia (a hernia through defect completely separate from the hiatus) was found. The (attenuated) left crus stood between the hernia defect and the esophageal hiatus. This could easily be disrupted either pre-operatively (during the disease process) or intra-operatively. We believe many reported cases of type II hernias are actually miscategorized parahiatal hernias.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88564
Program Number: V039
Presentation Session: Foregut Session
Presentation Type: Video