Related Experiment Video
Updated: Dec 26, 2025
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Congenital mixed giant hiatal hernia in a four-month-old infant
M Jiménez Muñoz1, I L Benítez Gómez1
1Hospital Universitario Virgen del Rocío. Sevilla (Spain).
Insights
Congenital hiatal hernia is a rare condition in infants, often presenting with gastrointestinal issues. Surgical repair is the recommended treatment to alleviate symptoms and prevent complications like gastric volvulus.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Neonatal Medicine
Background:
- Congenital hiatal hernia is a rare condition, with paraesophageal/mixed types leading to respiratory infections, vomiting, anemia, and growth failure.
- While Bochdalek's and Morgagni's hernias are common in children, hiatal hernias are infrequent but present significant gastrointestinal challenges.
Observation:
- A 4-month-old infant presented with irritability and feeding intolerance.
- Diagnostic imaging revealed a partial intrathoracic stomach, leading to a diagnosis of giant mixed hiatal hernia.
Findings:
- Surgical intervention confirmed a giant mixed hiatal hernia.
- Laparoscopic herniorrhaphy and Nissen fundoplication were successfully performed.
Implications:
- Early surgical management of congenital hiatal hernias is crucial for symptom resolution and preventing complications.
- This case highlights the importance of prompt diagnosis and surgical treatment for pediatric hiatal hernias to ensure optimal outcomes.
Introduction:
Congenital hiatal hernia is a rare pathology, presenting at 28 months of age on average. Paraesophageal/mixed hernias cause recurrent respiratory infections, vomiting, anemia, and growth failure.
Clinical Case:
Four-month-old infant, with irritability since birth and partial feeding intolerance in the last 24 hours. A partial intrathoracic stomach was evidenced in the esophago-gastro-duodenal contrast study. A thoraco-abdominal CT scan was carried out, with giant mixed hiatal hernia, right posterolateral diaphragmatic hernia, and congenital short esophagus being considered as potential diagnoses. A giant mixed hiatal hernia was noted during surgery. Laparoscopic herniorrhaphy and Nissen fundoplication were performed.
Discussion:
In the pediatric population, Bochdalek's hernia and Morgagni's hernia are the most frequent congenital diaphragmatic hernias. Hiatal hernia is rare and causes gastrointestinal symptoms more frequently. Surgery is the treatment of choice, with the objective of preventing or minimizing these symptoms as well as gastric volvulus.
Related Concept Videos
01:22Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
01:30Esophageal Strictures-I: Introduction
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
01:26Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...