Laparoscopic repair of a primary parahiatal hernia combined with gastric volvulus: a case report and literature review

• Published in: Surgical case reports Vol. 10; no. 1; p. 135
• Main Authors: Muramatsu, Hirotada, Amaike, Hisashi, Ogura, Rena, Shirono, Kouichi, Kamiya, Noriyuki
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 31.05.2024; Springer Nature B.V
• Subjects: Abdomen; Blood; Case Report; Case reports; Contrast agents; Diaphragm (Anatomy); Esophagus; Gastroesophageal reflux; Hiatal hernias; Hospitals; Laparoscopy; Literature reviews; Medicine; Medicine & Public Health; Stomach; Surgery; Tomography; Fundoplication; Laparoscopic surgery; Parahiatal hernia
• ISSN: 2198-7793; 2198-7793
• DOI: 10.1186/s40792-024-01931-9

Background Parahiatal hernias present a hernial orifice at the diaphragm that is adjacent to the esophageal hiatus, differing from the paraesophageal type of hiatal hernias. Although diagnostic imaging has advanced in recent years, diagnosing parahiatal hernias remains challenging. We herein report a case in which we performed laparoscopic surgery and intraoperatively diagnosed a parahiatal hernia. Case presentation A 67-year-old man presented to our hospital with difficulty eating, epigastric pain, and vomiting. We suspected a paraesophageal hiatal hernia. Laparoscopic surgery was performed, and a diagnosis of parahiatal hernia was made. We closed the hernial orifice with direct simple closure using nonabsorbable threads. The patient’s postoperative recovery course was reasonable, and he was discharged on the twelfth postoperative day. Conclusions Parahiatal hernias are rare, and a definitive diagnosis is difficult. Laparoscopic surgery can help accurately diagnose and treat patients presenting with the condition.