Abstract
Parahiatal hernias are the rare variant of a diaphragmatic hernias. They are characterized by the formation of the neck of the hernia sac laterally to the diaphragm crura (usually the left), which distinguishes them from hiatal hernias. Hernia usually affects the fundus and body of the stomach, the esophagogastric junction remains below the level of the diaphragm, and clinical manifestations are associated with episodes of strangulation or axial volvulus. The article describes a case of parahiatal hernia complicated by chronic gastric volvulus with subsequent development of acute axial volvulus, which required urgent laparoscopic management.
Publisher
PANORAMA Publishing House
Reference14 articles.
1. 1. Puchkov K.V., Filimonov V. B. Gryzhi pishchevodnogo otverstiia diafragmy [Hiatal hernia]. - M.: Medpraktika-M. - 2003. - 172 p. (In Russ.)
2. 2. Management of symptomatic, asymptomatic, and recurrent hiatal hernia: a systematic review and meta-analysis. Society of American Gastrointestinal Endoscopic Surgeons (SAGES). 2024.
3. 3. Kohn Q. P., Price R. R., Demeester S. R., Zehetner J., Muensterer O.J., Awad Z. et al. Guidelines for the management of hiatal hernia. Surgical Endoscopy. 2013. Dec;27 (12):4409-28.
4. 4. Landreneau R.J., Del Pino M.D., Santos R. Management of Paraesophageal Hernias. Surgical Clinics of North America. Volume 85, Issue 3, June 2005, Pages 411-432.
5. «True» parahiatal hernia: a rare entity radiologic presentation and clinical management;Scheidler;Ann Thorac Surg,2002