A Case of Paraesophageal Hiatal Hernia with Herniation of the Stomach and Transverse Colon Treated by Laparoscopic Mesh Repair

Abstract

We describe a case of paraesophageal hernia with herniation of the stomach and transverse colon treated by laparoscopic mesh repair.
A 59-year-old woman was detected an abnormal shadow in the left thoracic cavity on a chest x-ray examination at a medical checkup. Thoracoabdominal CT scan demonstrated herniation of the stomach and transverse colon through the left diaphragm. She had postprandial distress and we performed laparoscopic repair electively. We found a type IV paraesophageal hernia with prolapsed stomach and transverse colon. The herniated stomach and transverse colon were easily reduced into the abdomen. The hiatal hernia defect was closed by primary suture of the diaphragmatic crus and was reinforced by Parietex^TM Composite (PCO) mesh placement. Fundoplication with the Toupet method was then performed. After the surgery, the patient has been in good condition, without any recurrence of hiatal hernia.