Abdominal Viscera Migration Performing Hemodynamic Instability after Esophagectomy: A Case Report

Abstract

Hiatal hernia is a rare postoperative complication of esophagectomy in the treatment of esophageal cancer. Although rare, its incidence increased after the establishment of minimally invasive surgical techniques. The patient is usually oligosymptomatic, and the diagnosis is made in the late postoperative period, during outpatient follow-up. The initial presentation of hiatus hernia with hemodynamic instability is a rare condition that has never been described in the literature before. In the following report, we address the clinical picture, diagnosis, and treatment for this condition, discussing the main nuances of the literature.

Persistent pneumothorax after laparoscopic appendectomy in a patient who had undergone radical esophagectomy 5 years before: possible relationship with vulnerability of the hiatus after esophagectomy: a case report

“…However, PEDHs can occur several years after esophagectomy in a proportion of patients [ 11 , 12 ], and even more than 10 years after esophagectomy [ 13 ]. Further, an increase in intraabdominal pressure can cause a sudden PEDH by reopening a previously closed transdiaphragmatic communication [ 14 ]. Because a major transdiaphragmatic communication allowing migration of abdominal organs can persist or reopen several to more than 10 years after esophagectomy [ 11–13 ], a minor transdiaphragmatic communication allowing migration of the intraabdominal gas would persist much longer and much more frequently and/or would be much more easily reopened by increased intra-abdominal pressure from pneumoperitoneum.…”