Incidental Finding of a Type IV Hiatal Hernia Following Trauma

Arrangoiz, Rodrigo; Nigliazzo, Anthony; Opreanu, Razvan; Mosher, Benjamin; Stevens, Penny; Morrison, Chet; Kepros, John
July 2009
Internet Journal of Surgery;2009, Vol. 21 Issue 1, p11
Academic Journal
Hiatal hernias are the result of defects in the diaphragmatic hiatus wherein gradual enlargement of the hiatal orifice allows abdominal contents to herniate into the mediastinum. This is usually a naturally acquired condition but similar clinical presentations may occur after trauma or after previous surgery on the gastroesophageal junction (i.e., fundoplication). The stomach by itself is most typically involved; however, other associated organs may be included within the hernia sac including the spleen, colon, pancreas, or liver. We present a trauma activation patient of our level one institution who was to have an asymptomatic hiatal hernia.


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