Shirakabe Katsudai, Ozawa Naoya, Mochizuki Yoshihiro, Mizokami Ken
Department of General Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, 3-4-32 Todaijima, Urayasu City, Chiba, Japan.
Case Rep Surg. 2024 Feb 20;2024:8837649. doi: 10.1155/2024/8837649. eCollection 2024.
Type IV hiatal hernia of the esophagus is characterized by herniation of the stomach and associated organs, such as the spleen, large and small bowel, and pancreas, through the esophageal hiatus. It is a relatively rare form of hiatal hernia that sometimes requires emergency surgery due to gastric incarceration, volvulus, and strangulation. Of these, small bowel obstruction is extremely rare and requires surgery. We report the case of an 83-year-old woman who was admitted to the hospital for small bowel obstruction caused by an ileum that had incarcerated the esophageal hiatus; emergency laparoscopic surgery was performed.
食管IV型裂孔疝的特征是胃及相关器官,如脾脏、大小肠和胰腺,通过食管裂孔发生疝出。它是一种相对罕见的裂孔疝形式,有时由于胃嵌顿、扭转和绞窄而需要紧急手术。其中,小肠梗阻极为罕见且需要手术治疗。我们报告一例83岁女性患者,因回肠嵌顿食管裂孔导致小肠梗阻入院;进行了急诊腹腔镜手术。