Work

Incarcerated post-gastrectomy hiatal hernia: a case report

Year: 2026

Type: article

Abstract: Introduction and importance: We present a very rare postoperative complication following gastrectomy. Case presentation: A patient 30 months after total gastrectomy was diagnosed with herniation of the small intestine into the mediastinum and left hemithorax. A laparotomy was performed to release the strangulated ischemic small intestine, after which its viability improved. The finding did not require bowel resection, which was confirmed by a second operation within 48 hours. Clinical discussion: Hiatal hernia after gastrectomy is rare. It manifests itself as abdominal pain with nausea and vomiting. Surgical treatment is always indicated. Early diagnosis with acute revision is important for a favorable treatment outcome. A second examination is indicated in patients with unclear intestinal viability. Hiatal plasty should always be performed to prevent further hiatal herniation. Conclusion: Acute symptomatic hiatal hernia after gastric surgery is indicated for early surgery to prevent the development of serious, life-threatening complications.

Source: International Journal of Surgery Case Reports

DOI: 10.1097/rc9.0000000000000891

Authors: Radek Vrba, Petr Špička, Tomáš Řezáč, Katherine Vomáčková, Dušan Klos

Institution: Palacký University Olomouc

Language: English

Topic: Hernia repair and management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,090