裂孔疝在临床实践中仍然相当普遍。然而,患者表现出的各种不同症状可能会阻碍最终诊断的建立。然而,目前,食管裂孔疝的诊断很容易确定,基于钡吞咽射线照相术。我们想提交一份有复杂病史的患者的临床病例报告,包括vonWillebrand病,退行性脊柱疾病,慢性鼻窦炎,他最终被诊断为食管裂孔疝,并接受了标准的腹腔镜尼森胃底折叠术。我们的案例集中在合并症对患者症状的重要性,这有时可能会误导治疗过程。
Hiatal hernias continue to be fairly common in clinical practice. However, the variety of different symptoms presented by patients may hinder establishing the ultimate diagnosis. Nevertheless, currently, the diagnosis of hiatal hernia can be easily established, based on barium swallow radiography. We would like to present a clinical
case report of a patient with complex medical history, including von Willebrand disease, degenerative spinal disease, and chronic sinusitis, who was finally diagnosed with hiatal hernia and treated with a standard laparoscopic Nissen fundoplication. Our
case focuses on the significance of comorbidities on patients\' symptoms, which sometimes may mislead the therapeutic process.