Doi Hirokazu, Nakanishi Seiji, Ichikawa Soichi, Yamashita Hirotaka
Department of Gastroenterology, Ehime Prefectural Imabari Hospital, Japan.
Nihon Shokakibyo Gakkai Zasshi. 2011 Feb;108(2):253-8.
A parahiatal hernia, that occurs from muscular diaphragmatic defects causing separation from the esophageal hiatus, is rare. We treated a 68-year-old Japanese woman with the symptom of vomiting. Based on imaging studies (upper gastrointestinal studies, gastroscopy, contrast-enhanced computed tomography) we diagnosed parahiatal hernia. On laparoscopic surgery, the hernial orifice was separated from the esophageal hiatus and the crus of the diaphragm was between the hiatus and the orifice. We closed the hernial orifice with mesh. Parahiatal hernia is rare and is difficult to diagnose preoperatively. We present a case and the clinical discuss the characteristics and management of this rare disease.
经膈疝是由于膈肌肌肉缺损导致与食管裂孔分离而发生的，较为罕见。我们治疗了一名出现呕吐症状的68岁日本女性。根据影像学检查（上消化道造影、胃镜检查、增强计算机断层扫描），我们诊断为经膈疝。在腹腔镜手术中，疝孔与食管裂孔分离，膈肌脚位于裂孔和疝孔之间。我们用补片封闭了疝孔。经膈疝很罕见，术前难以诊断。我们报告了一例病例，并对这种罕见疾病的临床特征及治疗进行讨论。
