イトウ シユンイチ   Itou Shiyun'ichi
  伊藤 俊一
   所属   医学部 医学科(東京女子医科大学病院)
   職種   助教
論文種別 総説
言語種別 英語
査読の有無 査読なし
表題 Isolated esophageal hiatal hernia of the colon: A case report and review of literature
掲載誌名 正式名:Asian journal of endoscopic surgery
略  称:Asian J Endosc Surg
ISSNコード:17585910/17585902
掲載区分国外
巻・号・頁 18(1),pp.e13400
著者・共著者 MAEDA Shinsuke, ITO Shunichi, HOSODA Kei
担当区分 2nd著者
発行年月 2025/01
概要 Esophageal hiatal hernias, most of which are transhiatal migrations of the gastric cardia into the mediastinum, include a minor category called paraesophageal hernias. Herniation of organs other than the stomach belongs to this category. A 75-year-old man who developed esophageal hiatal hernia of an isolated transverse colon underwent elective laparoscopic surgery. Intraoperative findings revealed a preserved phrenoesophageal attachment on the patient's left dorsal side. Sac excision, sutured cruroplasty, and Toupet fundoplication were performed. The postoperative course was uneventful, and the patient's stooping-induced dyspnea was relieved after surgery. Our literature review indicated that hiatal hernia of the isolated colon has the unique characteristic of causing secondary gastroduodenal outlet obstruction and shares a mutual nature with Type II hiatal hernia. Although rare, this uncommon type of hiatal hernia may be recognized as a distinct subtype of paraesophageal hernia.
DOI 10.1111/ases.13400
PMID 39477344