Publikation

Acute bolus obstruction following surgical treatment of paraesophageal herniation of the greater omentum

Wissenschaftlicher Artikel/Review - 27.05.2021

Bereiche
PubMed
DOI
Kontakt

Zitation
Rassam S, Steffen T, Folie P. Acute bolus obstruction following surgical treatment of paraesophageal herniation of the greater omentum. J Surg Case Rep 2021; 2021:rjab208.
Art
Wissenschaftlicher Artikel/Review (Englisch)
Zeitschrift
J Surg Case Rep 2021; 2021
Veröffentlichungsdatum
27.05.2021
ISSN (Druck)
2042-8812
Seiten
rjab208
Kurzbeschreibung/Zielsetzung

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.