Abstract
We report a rare case of esophageal hiatal hernia with incarcerated transverse colon after spontaneous reduction of an upside-down stomach. An 83-year-old woman visited our hospital with vomiting and anorexia. Computed tomography and upper gastrointestinal series showed an upside-down stomach and esophageal hiatal hernia with incarcerated transverse colon. Nasogastric tube insertion and conservative management were successful. Three years later, her upside-down stomach had reduced spontaneously, but the transverse colon remained incarcerated. She underwent laparoscopic repair of the hiatal hernia and Toupet fundoplication. The postoperative course was uneventful. As of 3 months after surgery, she remains in good condition without recurrence.
