HOSODA Kei
   Department   School of Medicine(Yachiyo Medical Center), School of Medicine
   Position  
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 Last 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