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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Aortic hiatus gastric hernia
John F Spivey1, Venkataraman Ramachandran, Gavin R Graff
1Department of Child Health, University of Missouri Health Care, Columbia, Missouri, USA.
Insights
A rare aortic hiatal hernia in a child initially misdiagnosed as asthma caused respiratory distress. Surgical repair led to significant improvement in daily respiratory symptoms, highlighting the importance of considering rare congenital anomalies.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Pulmonology
Background:
- Congenital diaphragmatic hernias are anomalies associated with respiratory issues.
- Delayed diagnosis can lead to prolonged morbidity.
Observation:
- A case of an infant presenting with recurrent respiratory distress, initially diagnosed as asthma.
- The diaphragmatic hernia was diagnosed at 18 months of age.
Findings:
- The specific diagnosis was an aortic hiatal hernia.
- Surgical repair of the aortic hiatal hernia was performed.
- Post-operative improvement in daily respiratory symptoms was observed.
Implications:
- This case underscores the importance of considering congenital diaphragmatic hernias in infants with unexplained respiratory symptoms.
- Early and accurate diagnosis of diaphragmatic hernias can prevent long-term respiratory complications.
- Surgical intervention is effective in resolving respiratory distress caused by aortic hiatal hernias.
Abstract:
Congenital diaphragmatic hernias are a relatively common anomaly that can present with significant respiratory morbidity and mortality. We report on a case of an aortic-hiatal gastric hernia that initially presented with repeated episodes of respiratory distress, which was diagnosed as asthma. The diagnosis of a diaphragmatic hernia was made at 18 months of age. In the operating room, it was noted that it was an aortic hiatal hernia, which was surgically repaired. Subsequently, there has been improvement in daily respiratory symptoms.
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