Duodenum in the right hemithorax: An unusual case of a large paraesophageal hernia
Paraesophageal hernia is an uncommon condition where the gastric fundus herniates through the diaphragm without the accompanied migration of the gastroesophageal junction. A woman in her late 60s presented with symptoms of vomiting and decreased appetite for 1 year, accompanied by abdominal fullness...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | International Journal of Abdominal Wall and Hernia Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.4103/ijawhs.ijawhs_1_24 |
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| author | Mahisha Virdiana Vijayendra Kedage Manasa Ubarale K. Rajgopal Shenoy |
| author_facet | Mahisha Virdiana Vijayendra Kedage Manasa Ubarale K. Rajgopal Shenoy |
| author_sort | Mahisha Virdiana |
| collection | DOAJ |
| description | Paraesophageal hernia is an uncommon condition where the gastric fundus herniates through the diaphragm without the accompanied migration of the gastroesophageal junction. A woman in her late 60s presented with symptoms of vomiting and decreased appetite for 1 year, accompanied by abdominal fullness in the epigastrium, nausea, and retrosternal burning sensation. Her symptoms worsened over the past month, leading to intolerance to a liquid diet. Upon examination, a vague, tender mass was palpated over the epigastrium, and decreased breath sounds were noted over the right hemithorax. Computed tomography suggested the presence of paraesophageal hernia. An exploratory laparotomy was performed. Intraoperatively, a 4 cm paraesophageal diaphragmatic defect was found through which the antrum and the first part of the duodenum had herniated. The hernial contents were reduced, and anatomical closure was performed. Paraesophageal hernias necessitate careful history and examination, along with an individualized treatment approach, to achieve optimal patient outcomes. |
| format | Article |
| id | doaj-art-4ad2f0ebd72a4f65bda9eca26554abd9 |
| institution | Kabale University |
| issn | 2589-8736 2589-8078 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Abdominal Wall and Hernia Surgery |
| spelling | doaj-art-4ad2f0ebd72a4f65bda9eca26554abd92025-01-17T10:51:27ZengWolters Kluwer Medknow PublicationsInternational Journal of Abdominal Wall and Hernia Surgery2589-87362589-80782024-12-017418418810.4103/ijawhs.ijawhs_1_24Duodenum in the right hemithorax: An unusual case of a large paraesophageal herniaMahisha VirdianaVijayendra KedageManasa UbaraleK. Rajgopal ShenoyParaesophageal hernia is an uncommon condition where the gastric fundus herniates through the diaphragm without the accompanied migration of the gastroesophageal junction. A woman in her late 60s presented with symptoms of vomiting and decreased appetite for 1 year, accompanied by abdominal fullness in the epigastrium, nausea, and retrosternal burning sensation. Her symptoms worsened over the past month, leading to intolerance to a liquid diet. Upon examination, a vague, tender mass was palpated over the epigastrium, and decreased breath sounds were noted over the right hemithorax. Computed tomography suggested the presence of paraesophageal hernia. An exploratory laparotomy was performed. Intraoperatively, a 4 cm paraesophageal diaphragmatic defect was found through which the antrum and the first part of the duodenum had herniated. The hernial contents were reduced, and anatomical closure was performed. Paraesophageal hernias necessitate careful history and examination, along with an individualized treatment approach, to achieve optimal patient outcomes.https://doi.org/10.4103/ijawhs.ijawhs_1_24herniahiatal hernialarge paraesophageal herniaparaesophageal hernia |
| spellingShingle | Mahisha Virdiana Vijayendra Kedage Manasa Ubarale K. Rajgopal Shenoy Duodenum in the right hemithorax: An unusual case of a large paraesophageal hernia International Journal of Abdominal Wall and Hernia Surgery hernia hiatal hernia large paraesophageal hernia paraesophageal hernia |
| title | Duodenum in the right hemithorax: An unusual case of a large paraesophageal hernia |
| title_full | Duodenum in the right hemithorax: An unusual case of a large paraesophageal hernia |
| title_fullStr | Duodenum in the right hemithorax: An unusual case of a large paraesophageal hernia |
| title_full_unstemmed | Duodenum in the right hemithorax: An unusual case of a large paraesophageal hernia |
| title_short | Duodenum in the right hemithorax: An unusual case of a large paraesophageal hernia |
| title_sort | duodenum in the right hemithorax an unusual case of a large paraesophageal hernia |
| topic | hernia hiatal hernia large paraesophageal hernia paraesophageal hernia |
| url | https://doi.org/10.4103/ijawhs.ijawhs_1_24 |
| work_keys_str_mv | AT mahishavirdiana duodenumintherighthemithoraxanunusualcaseofalargeparaesophagealhernia AT vijayendrakedage duodenumintherighthemithoraxanunusualcaseofalargeparaesophagealhernia AT manasaubarale duodenumintherighthemithoraxanunusualcaseofalargeparaesophagealhernia AT krajgopalshenoy duodenumintherighthemithoraxanunusualcaseofalargeparaesophagealhernia |