PDF(Pubmed)
Abstract：
BACKGROUND: Parahiatal hernias present a hernial orifice at the diaphragm that is adjacent to the esophageal hiatus, differing from the paraesophageal type of hiatal hernias. Although diagnostic imaging has advanced in recent years, diagnosing parahiatal hernias remains challenging. We herein report a case in which we performed laparoscopic surgery and intraoperatively diagnosed a parahiatal hernia.
METHODS: A 67-year-old man presented to our hospital with difficulty eating, epigastric pain, and vomiting. We suspected a paraesophageal hiatal hernia. Laparoscopic surgery was performed, and a diagnosis of parahiatal hernia was made. We closed the hernial orifice with direct simple closure using nonabsorbable threads. The patient\'s postoperative recovery course was reasonable, and he was discharged on the twelfth postoperative day.
CONCLUSIONS: Parahiatal hernias are rare, and a definitive diagnosis is difficult. Laparoscopic surgery can help accurately diagnose and treat patients presenting with the condition.
METHODS: A 67-year-old man presented to our hospital with difficulty eating, epigastric pain, and vomiting. We suspected a paraesophageal hiatal hernia. Laparoscopic surgery was performed, and a diagnosis of parahiatal hernia was made. We closed the hernial orifice with direct simple closure using nonabsorbable threads. The patient\'s postoperative recovery course was reasonable, and he was discharged on the twelfth postoperative day.
CONCLUSIONS: Parahiatal hernias are rare, and a definitive diagnosis is difficult. Laparoscopic surgery can help accurately diagnose and treat patients presenting with the condition.
摘要：
背景：旁疝在邻近食管裂孔的隔膜处出现疝孔，不同于食管旁类型的食管裂孔疝。尽管诊断成像在最近几年取得了进展，诊断产旁疝仍然具有挑战性。我们在此报告了一例进行腹腔镜手术并在术中诊断为裂孔旁疝的病例。
方法：一位67岁的男子因进食困难来到我院就诊，上腹痛,和呕吐。我们怀疑是食管裂孔旁疝。进行了腹腔镜手术，并诊断为裂孔旁疝。我们使用不可吸收的线直接简单地关闭了疝口。患者术后恢复过程合理,他在术后第12天出院。
结论：周边疝是罕见的，明确的诊断是困难的。腹腔镜手术可以帮助患者准确诊断和治疗病情。
方法：一位67岁的男子因进食困难来到我院就诊，上腹痛,和呕吐。我们怀疑是食管裂孔旁疝。进行了腹腔镜手术，并诊断为裂孔旁疝。我们使用不可吸收的线直接简单地关闭了疝口。患者术后恢复过程合理,他在术后第12天出院。
结论：周边疝是罕见的，明确的诊断是困难的。腹腔镜手术可以帮助患者准确诊断和治疗病情。
