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Acute bolus obstruction following surgical treatment of paraesophageal herniation of the greater omentum

Stephanie Rassam, Thomas Steffen & Patrick Folie

abstract Hiatal herniations are most commonly diagnosed during work-up for gastroesophageal reflux disease. Here, we present a patient with retrosternal pain for whom the computed tomography scan showed a lipomatous formation in the lower posterior mediastinum, and further examination indicated the origin to be paraesophageal herniation (PEH) of the greater omentum. This was confirmed by laparoscopy, the herniated part of the greater omentum was repositioned and the hiatal hernia was repaired. During recovery the patient complained of dysphagia, a common and transient postoperative occurrence, but which later proved to be a mechanical obstruction caused by a bolus. This case raises awareness of potential differential diagnoses pre- and postoperatively in conjunction with PEH, and the management of such differential diagnoses is discussed.
   
citation Rassam S, Steffen T, folie p. Acute bolus obstruction following surgical treatment of paraesophageal herniation of the greater omentum. J Surg Case Rep 2021; 2021:rjab208.
   
type journal paper/review (English)
date of publishing 27-5-2021
journal title J Surg Case Rep (2021/5)
ISSN print 2042-8812
pages rjab208
PubMed 34055295
DOI 10.1093/jscr/rjab208
contact Ulrich Beutner