Incarcerated post-gastrectomy hiatal hernia: a case report
- 1Department of Surgery, Faculty of Medicine and Dentistry, Palacký University Olomouc, Olomouc, Czech Republic
Abstract
Introduction and importance:: We present a very rare postoperative complication following gastrectomy.
Case presentation:: A patient 30 months after total gastrectomy was diagnosed with herniation of the small intestine into the mediastinum and left hemithorax. A laparotomy was performed to release the strangulated ischemic small intestine, after which its viability improved. The finding did not require bowel resection, which was confirmed by a second operation within 48 hours.
Clinical discussion:: Hiatal hernia after gastrectomy is rare. It manifests itself as abdominal pain with nausea and vomiting. Surgical treatment is always indicated. Early diagnosis with acute revision is important for a favorable treatment outcome. A second examination is indicated in patients with unclear intestinal viability. Hiatal plasty should always be performed to prevent further hiatal herniation.
Conclusion:: Acute symptomatic hiatal hernia after gastric surgery is indicated for early surgery to prevent the development of serious, life-threatening complications.
Related
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- Challenges in the Management of Giant Strangulated Hiatal Hernia: A Case Report.
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BibTeX
@article{vrba2026incarcerated,
title = {{Incarcerated post-gastrectomy hiatal hernia: a case report}},
author = {Radek Vrba and Petr Špička and Tomáš Řezáč and Katherine Vomáčková and Dušan Klos},
journal = {International Journal of Surgery Case Reports},
year = {2026},
month = oct,
doi = {10.1097/rc9.0000000000000891},
url = {https://doi.org/10.1097/rc9.0000000000000891},
note = {CC BY-NC-ND 4.0},
}
RIS
TY - JOUR
TI - Incarcerated post-gastrectomy hiatal hernia: a case report
AU - Radek Vrba
AU - Petr Špička
AU - Tomáš Řezáč
AU - Katherine Vomáčková
AU - Dušan Klos
PY - 2026
DA - 2026/10/07
JO - International Journal of Surgery Case Reports
DO - 10.1097/rc9.0000000000000891
UR - https://doi.org/10.1097/rc9.0000000000000891
AB - Introduction and importance:: We present a very rare postoperative complication following gastrectomy. Case presentation:: A patient 30 months after total gastrectomy was diagnosed with herniation of the small intestine into the mediastinum and left hemithorax. A laparotomy was performed to release the strangulated ischemic small intestine, after which its viability improved. The finding did not require bowel resection, which was confirmed by a second operation within 48 hours. Clinical discussion:: Hiatal hernia after gastrectomy is rare. It manifests itself as abdominal pain with nausea and vomiting. Surgical treatment is always indicated. Early diagnosis with acute revision is important for a favorable treatment outcome. A second examination is indicated in patients with unclear intestinal viability. Hiatal plasty should always be performed to prevent further hiatal herniation. Conclusion:: Acute symptomatic hiatal hernia after gastric surgery is indicated for early surgery to prevent the development of serious, life-threatening complications.
SN - 2210-2612
ER -