Acute hiatal hernia: a late complication following gastrectomy
Related Experiment Video
Updated: Jun 8, 2026

Technical Considerations and Approach to Redo Foregut Surgery
Published on: September 22, 2023
Sara Piciucchi1, Carlo Milandri, Giorgio Maria Verdecchia
1Department of Radiology, IRST- Scientific Institute for study and treatment of Cancer, Meldola-Forlì; Italy. s.piciucchi@alice.it.
Introduction:
We describe a case of acute hiatal hernia during chemotherapy, in a female patient previously treated with gastrectomy.
Case Presentation:
After gastric resection, the patient underwent chemotherapy, developing important emetic symptoms. A radiograph of the abdomen was performed because of acute epigastrial pain and it showed a marked left diaphragm elevation.A CT scan carried out 24 hours later identified an occlusion with herniation in the left hemi thorax. Subsequent surgical investigation resulted in a diagnosis of hiatal hernia with volvulus.
Conclusions:
This case represents a rare, late complication occurring after gastrectomy.
Related Concept Videos
Hiatal Hernia
Peptic Ulcer Disease III: Clinical Manifestations and Complications
Gastritis III: Clinical Manifestations and Management
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
Gastroesophageal Reflux Disease
Esophageal Achalasia