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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Paraesophageal Hernia in a Newborn Mimicking Esophageal Atresia

Zoi Lamprinou1, Dimosthenis Chrysikos1, George Tsakotos1

  • 1Anatomy, National and Kapodistrian University of Athens, Athens, GRC.

Cureus
|October 5, 2022
PubMed

Insights

Congenital paraesophageal hernia (CPEH) is a rare newborn condition. Early diagnosis and emergent surgery are crucial for treating this potentially life-threatening defect, preventing recurrence.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Neonatology

Background:

  • Hiatal hernias, involving abdominal organ herniation into the chest via the esophageal hiatus, are rare in infants and children.
  • Symptoms are often subtle and non-specific, complicating diagnosis in neonates.
  • Surgical correction is essential due to the risk of severe complications.

Observation:

  • A newborn presented with symptoms mimicking esophageal atresia, unable to pass an orogastric tube.
  • A contrast study confirmed a congenital paraesophageal hernia (CPEH) with microgastria.
  • The infant underwent emergent surgery for the condition.

Findings:

  • The emergent surgical intervention successfully treated the congenital paraesophageal hernia.
  • The patient has shown no signs of recurrence post-surgery.
  • This case highlights the diagnostic challenges and successful management of CPEH in a neonate.

Implications:

  • A high index of suspicion for CPEH is warranted in neonates with persistent gastroesophageal reflux or respiratory issues.
  • Signs suggestive of esophageal obstruction in neonates necessitate ruling out conditions like CPEH via upper gastrointestinal studies.
  • Prompt diagnosis and surgical intervention are key for favorable outcomes in congenital hiatal hernias.

Keywords:
congenital hiatal herniaesophageal atresiamicrogastrianeonateparaesophageal hernia

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