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Hiatal herniation of the colon in an infant
T Arima1, M Igarashi, M Shiraishi
1Second Department of Surgery, Shimane University School of Medicine, Izumo, Japan.
Insights
Colonic herniation through the esophageal hiatus is rare in infants. This case report details a seven-month-old girl with transverse colon herniation, successfully treated with surgical correction and fundoplication.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Anatomy
Background:
- Esophageal hiatus hernias are uncommon in infants.
- Colonic herniation through the esophageal hiatus is exceptionally rare.
Observation:
- A seven-month-old female infant presented with bloody stools.
- Initial diagnosis was sliding hiatal hernia of the stomach.
- Barium enema confirmed transverse colon herniation alongside gastric herniation.
Findings:
- Surgical correction of the hiatal hernia was performed.
- Nissen's fundoplication was added during the procedure.
- The patient experienced an uneventful postoperative recovery.
Implications:
- This is the first reported case of colonic hiatal herniation in infancy and childhood.
- Highlights the importance of considering rare anatomical variations in pediatric gastrointestinal bleeding.
- Surgical intervention can effectively manage this condition in young children.
Abstract:
Colonic herniation through the esophageal hiatus is an unusual condition. This paper deals with such a case involving a seven month-old girl. She had had no previous symptoms, but had bloody feces after a diagnosis of sliding hiatal herniation of the stomach had been made. Barium enema revealed hiatal herniation of the transverse colon accompanying gastric herniation. At operation hiatal hernia was corrected and Nissen's fundoplication was added. Her postoperative course was uneventful. To our knowledge this is the first description of hiatal herniation of the colon in infancy and childhood.