Abstract
We report a rare complication of internal hernia following esophagectomy. A 67-year-old man undergoing subtotal esophagectomy suffered abdominal pain on postoperative day (POD) 3, with an internal hernia confirmed by abdominal X-ray and computed tomography the next day and emergency surgery required on POD 6 solve the problem. No recurrence has occurred in the 7 months since surgery. Of the only 8 such cases, including ours, reported in Japan, 7 involved the posterior mediastinal route, with our case alone involving the retrosternal route.