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Small Bowel Obstruction Caused by Type IV Hiatal Hernia.
Katsudai Shirakabe1, Naoya Ozawa1, Yoshihiro Mochizuki1
1Department of General Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, 3-4-32 Todaijima, Urayasu City, Chiba, Japan.
Case Reports in Surgery
|February 28, 2024
Summary
Type IV hiatal hernia can involve abdominal organs. This rare case highlights small bowel obstruction as a complication requiring emergency laparoscopic surgery.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Type IV hiatal hernia involves herniation of abdominal organs through the esophageal hiatus.
- This condition can lead to serious complications like gastric incarceration, volvulus, and strangulation.
Observation:
- An 83-year-old woman presented with small bowel obstruction.
- The obstruction was caused by the ileum incarcerating within the esophageal hiatus.
Findings:
- Small bowel obstruction due to incarcerated ileum in a Type IV hiatal hernia is extremely rare.
- Emergency laparoscopic surgery was successfully performed.
Implications:
- This case underscores the importance of considering rare complications in Type IV hiatal hernias.
- Prompt surgical intervention is crucial for managing life-threatening conditions like small bowel obstruction in this context.
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