Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Congenital Esophageal Hiatus Hernia (Report of a Case)

선천성(先天性) 식도렬공(食道裂孔) Hernia의 치험(治驗) 1례(例)

  • Chung, Yun Chae (Department of Thoracic Surgery School of Medicine, Hanyang University) ;
  • Oh, Chul Soo (Department of Thoracic Surgery School of Medicine, Hanyang University) ;
  • Rhee, Chong Bae (Department of Thoracic Surgery School of Medicine, Hanyang University) ;
  • Jee, Heng Ok (Department of Thoracic Surgery School of Medicine, Hanyang University) ;
  • Kim, Kun Ho (Department of Thoracic Surgery School of Medicine, Hanyang University) ;
  • Lee, Keun Soo (Department of Pediatrics, School of Medicine, Hanyang University)
  • 정윤채 (한양대학교 의과대학 흉부외과학교실) ;
  • 오철수 (한양대학교 의과대학 흉부외과학교실) ;
  • 이종배 (한양대학교 의과대학 흉부외과학교실) ;
  • 지행옥 (한양대학교 의과대학 흉부외과학교실) ;
  • 김근호 (한양대학교 의과대학 흉부외과학교실) ;
  • 이근수 (한양대학교 의과대학 소아과학교실)
  • Published : 1976.12.01
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Abstract

This is a report of a case of congenital esophageal hiatus hernia, occurring in a younger child at the age of one year and two months. The child was suffered from vomiting (intermittently coffee-ground vomitus or blood-flecked vomitus), coughing, and high fever for about 3 months.Diagnosis was confirmed by the radiologic barium study of the gastrointestinal tracts. The herniated organs were entire stomach and a part of the transverse colon. They were located in the right chest. The etiologic pathology was mainly congenital developmental defect of the musculature of the diaphragm, forming the posterior margin of the esophgeal hiatus, and additionally slight shorted esophagus. After reduction of herniated organs back to the abdominal cavity through abdominal approach, herniorrhaphy was performed through transthoracic approach with modified Allison's procedure. At the same time, any associated anomalies, such as hypertrophic pyloric stenosis, were not seen. Postoperative course was uneventful.

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