Hernia Research Today is a free monthly online journal that collates and summarizes the latest research about Hernia, including details on hiatal, inguinal, umbilical, abdominal, treatment.

Traumatic right paraesophageal hernia after Belsey Mark IV fundoplication.

Durr ML, Yang SC

Department of Surgery, Division of Thoracic Surgery, Johns Hopkins Medical Institution, Baltimore, Maryland, USA. durr@jhmi.edu

We report the case of a 70-year-old woman with a long history of achalasia and gastroesophageal reflux disease who presented with an acute right-sided paraesophageal hernia after a motor vehicle accident. Six months before the accident, she underwent an elective Belsey Mark IV fundoplication to reduce a hiatal hernia. The traumatic paraesophageal hernia traversed the diaphragm at a weakness opposite the fundoplication. The clinical presentation, surgical management, and previous literature are discussed.

Published 24 December 2007 in Ann Thorac Surg, 85(1): 321-2.
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