Abstract
A 96-year-old woman was incidentally diagnosed with diaphragmatic hernia 4 years previously, but she had not been received any treatment because she was asymptomatic. She had bouts of vomiting after eating and visited a neighboring hospital. She was transferred to our hospital because conservative therapy by nasogastric tube insertion was ineffective. Endoscopic examination revealed stenosis of the gastric body. Abdominal CT scan showed the stomach, duodenum, omentum and transverse colon to have prolapsed in the right thoracic cavity and the diaphragmatic crura between the esophageal hiatus and the hernia orifice. From these findings, right parahiatal diaphragmatic hernia was diagnosed. Open surgery was performed and we reduced the herniated gastric body, duodenum, omentum and transverse colon to the abdominal cavity and sutured the hernia orifice. After the surgery, she was associated with reflux esophagitis (Los Angeles Classification B), but it subsided with conservative therapy. She was discharged on the 27th postoperative day. No recurrence has occurred as of a year after the surgery.
