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Congenital paraesophageal hernia with intrathoracic gastric volvolus in two sisters

Ahmed H Al-Salem1

  • 1Department of Pediatric Surgery, Maternity and Children Hospital, P.O. Box 61015, Qatif, Dammam 31911, Saudi Arabia.

ISRN Surgery
|November 16, 2011
PubMed

Insights

Congenital paraesophageal hernias are uncommon in pediatric patients. This study highlights two sisters with large hernias causing gastric volvulus, reviewing similar cases.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Congenital Abnormalities

Background:

  • Congenital paraesophageal hernia (CPH) is a rare condition in infants and children.
  • It involves herniation of abdominal organs into the chest through the diaphragm.
  • Large CPH can lead to serious complications like gastric volvulus.

Purpose of the Study:

  • To describe the clinical experience with seven pediatric cases of CPH.
  • To emphasize two sisters with unusually large CPH and intrathoracic gastric volvulus.
  • To review the existing literature on pediatric CPH.

Main Methods:

  • Retrospective case series analysis.
  • Review of medical records for seven pediatric patients diagnosed with CPH.
  • Literature search for published cases of pediatric CPH.

Main Results:

  • Seven pediatric patients with CPH were identified.
  • Two sisters presented with massive CPH, leading to herniation of most of the stomach.
  • These two patients experienced intrathoracic gastric volvulus due to the large herniation.
  • The study details their presentation, management, and outcomes.

Conclusions:

  • Congenital paraesophageal hernia, though rare, can present with severe complications in children.
  • Large CPH, particularly in familial cases, may predispose to gastric volvulus.
  • Early diagnosis and surgical intervention are crucial for managing pediatric CPH and its complications.

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