[Recurrent sub-obstruction due to intermittent hiatal herniation of the transverse colon with intrathoracic stomach torsion].

A patient is presented with repeated sub-obstructive symptoms due to a documented intermittent hiatal herniation of the transverse colon, accompanied by a volvulated and complete thoracic herniated stomach. The symptoms, the complications, and affirmative investigations, and the treatment are discussed. Surgical reduction, hernia repair and antireflux operation are always recommended in case of a massive hiatal hernia, since a conservative treatment stands for serious and frequent complications.