PDF(Pubmed)
Abstract：
Congenital mixed hiatal hernia is a disorder that combines features of both sliding and paraoesophageal hernias. The precise incidence of congenital mixed hiatal hernia during the pediatric and neonatal period remains uncertain, making diagnosis challenging within this age cohort. This case presents a 15-day-old female with an 8% postnatal weight loss and apost-feeding vomiting. An upper gastrointestinal series, computer tomography, and upper endoscopy revealed a mixed hiatal hernia. The patient underwent a laparoscopic herniorrhaphy and Nissen fundoplication achieving successful resumption of complete oral feeding before discharge. Diagnosis and management of this condition in neonates remain challenging due to its rarity and variable clinical presentations. This report emphasizes the importance of early recognition, accurate diagnosis, and tailored management strategies in the neonatal period. Further research, with a collaborative effort between pediatricians and surgeons, is needed to refine diagnostic criteria, establish evidence-based management approaches, and improve outcomes for affected children.
摘要：
先天性混合性食管裂孔疝是一种兼有滑动和旁食管疝特征的疾病。小儿和新生儿期先天性混合性食管裂孔疝的确切发生率仍不确定，在这个年龄段内进行诊断具有挑战性。该病例为一名15天大的女性，其出生后体重减轻8％，喂养呕吐。上消化道系列，计算机断层扫描,上消化道内镜显示为混合性食管裂孔疝.患者接受了腹腔镜疝修补术和尼森胃底折叠术，在出院前成功恢复了完全的口服喂养。新生儿这种情况的诊断和管理仍然具有挑战性，因为它的稀有性和不同的临床表现。这份报告强调了早期识别的重要性,准确诊断,以及在新生儿期量身定制的管理策略。进一步研究,在儿科医生和外科医生的共同努力下，需要完善诊断标准，建立循证管理方法，并改善受影响儿童的结果。
