Experience with Mesh Repair for Type III Esophageal Hiatal Hernia Developed Upside Down Stomach. A Case Report.

Hasebe, Yukitake; Nagasawa, Yasushige; Koike, Junki; Zennri, Motoomi; Nishida, Shoji

doi:10.3919/jjsa.63.1404

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…Until recently, only 35 cases of esophageal hiatal hernia were reported in Japan from 1985 to 2005 (Ohshima et al 1985;Akamine et al 1989;Uoshima et al 1990;Matsui et al 1992;Izumi et al 1993;Ishii et al 1994;Kawashima et al 1994;Shimoda et al 1994;Kitamura et al 1996;Satoh et al 1996;Washio et al 1996;Matsuda et al 1997;Yoshida et al 1998;Morinaga et al 1998;Kinugasa et al 1998;Nagai and Hamaguchi 1999;Tanaka et al 1999;Idani et al 2000;Umezawa et al 2000;Ishihara et al 2001;Kawachi et al 2001;Kawai et al 2001;Kawano et al 2001;Koichi et al 2001;Murata et al 2001;Fujiwara et al 2001;Hasebe et al 2002;Tabo et al 2002;Ito et al 2003;Tsuji et al 2003;Tanaka et al 2004;Oku et al 2005;Okabe et al 2006). These cases are classified into four types of protrusion of the stomach; three cases of the sliding type, ten cases of the paraesophageal type, ten cases of the mixed type, and twelve other cases that are yet to be classified.…”

Section: Introductionmentioning

confidence: 97%

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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