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Hiatal Hernia

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...

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Updated: May 24, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Strangulated lesser sac hernia.

D Guinier¹, O Tissot

¹Service de chirurgie digestive, centre hospitalier Bretagne Sud, 56100 Lorient, France. d.guinier@ch-bretagne-sud.fr

Journal of Visceral Surgery

|March 20, 2012

Summary

This summary is machine-generated.

Internal hernias are rare causes of bowel obstruction, often diagnosed late. Computerized tomography enabled early diagnosis and tailored surgery for a transomental internal hernia.

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Last Updated: May 24, 2026

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Area of Science:

Gastroenterology
Surgical Diagnostics
Abdominal Imaging

Background:

Internal hernias are an uncommon cause of acute mechanical bowel obstruction, representing less than 1% of cases.
Due to their rarity, internal hernias are frequently overlooked in clinical and radiological assessments, leading to diagnostic delays.
Delayed diagnosis often results in the condition being identified intraoperatively.

Observation:

This case report details the management of a strangulated transomental internal hernia.
The patient's presentation involved symptoms consistent with bowel obstruction.
Imaging studies were crucial in evaluating the obstruction.

Findings:

Computerized tomography (CT) scans were utilized for diagnostic imaging.
CT imaging facilitated a timely preoperative diagnosis of the internal hernia.
The diagnosis was confirmed preoperatively, allowing for specific surgical planning.

Implications:

Early and accurate diagnosis of internal hernias is critical for effective management.
Advanced imaging techniques like CT play a vital role in identifying rare causes of bowel obstruction.
Timely diagnosis enables the selection of appropriate surgical strategies, potentially improving patient outcomes.