An upside-down view of an upside-down organ Endoscopic appearance in paraesophageal hiatus hernia

Groarke, Joseph F.; Hirschowitz, Basil I.

doi:10.1016/s0016-5107(77)73434-0

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…In addition, 32 cases were reported in other countries (Gagliardi 1952;Flynn 1953;Groarke and Hirschowitz 1977;Neudel 1977;Kowalewski and Rosch 1989;Johnson and Thompson 1994;Januschowski 1996;Criblez 1998;Krähenbühl et al 1998;Stiefelhagen 1999;Hohmann et al 2000;Stiefel et al 2000;Saortay et al 2001;Belak et al 2003;Munteanu et al 2003;Tabo et al 2003;Braumann et al 2005;Maghaydah and Kuchel 2007). Among them, there was one case of the sliding type, 15 cases of the paraesophageal type, 6 cases of the mixed types, and 11 cases that were not yet classified.…”

Section: Introductionmentioning

confidence: 99%

Observation of the upside-down stomach esophageal hiatal hernia in a cadaver

et al. 2009

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In the course of a cadaveric dissection in 2006, an upside-down stomach esophageal hiatal hernia was observed in a 91-year-old Japanese woman with kyphosis who had died of brain infarction. There are 31 clinical reports of upside-down stomach esophageal hiatal hernia, but the vascular system was not analyzed in any of these cases. In this specimen, most of the stomach except the pyloric region passed through the esophageal hiatus (approximately 40 mm in diameter) with the greater omentum and into the hernial sac located dorsal to the heart in the thoracic cavity. The greater omentum was raised on the ventral region in the hernial sac and spread toward the upper abdomen through the esophageal hiatus from the sac, without any adhesion in the abdominal cavity. The tail of the pancreas and the spleen were located near the esophageal hiatus. No abnormality was observed in the heart or lungs. The celiac trunk and its main branches were normal, but the left and right gastric arteries, the short gastric artery and the left gastroepiploic artery passed into the hernial sac through the esophageal hiatus. This specimen was classified as the sliding type of esophageal hiatal hernia. We consider the excessive kyphosis of the vertebral column to likely be associated with the formation of such a highly advanced hernia.

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