MAEDA Shinsuke
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Assistant Professor
Article types Case report
Language English
Peer review Peer reviewed
Title Isolated esophageal hiatal hernia of the colon: A case report and review of literature
Journal Formal name:Asian journal of endoscopic surgery
Abbreviation:Asian J Endosc Surg
ISSN code:17585910/17585902
Domestic / ForeginForegin
Volume, Issue, Page 18(1),pp.e13400
Author and coauthor MAEDA Shinsuke, ITO Shunichi, HOSODA Kei
Authorship Lead author
Publication date 2025/01
Summary 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