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Paraesophageal hiatus hernia in an 8-month-old infant with organoaxial volvulus of the stomach.
BMJ Case Rep. 2014 May 05; 2014BC

Abstract

Paraesophageal hiatus hernia is an extremely rare variety of hiatus hernia and it is rarely seen in the paediatric age group. We present an instance of this hernia in which an 8-month-old female infant was admitted with a history of ongoing vomiting and irritability since past 7 days. The subsequent imaging study showed paraesophageal hiatus hernia with twisting of the stomach along its longitudinal axis (organoaxial volvulus). Subsequent surgical repair led to the resolution of symptoms. This kind of volvulus is rare in hiatus hernia and once detected it requires prompt surgical management. Given the asymptomatic presentation of hiatus hernia clinicians need to realise that this can be associated with volvulus of stomach which, if left unrepaired, can lead to severe complications. Thus, prompt consideration is necessary with timely surgical referral to alleviate this rare but important variety of hiatus hernia.

Authors+Show Affiliations

Department of Pediatrics, Midland Regional Hospital, Mullingar, Westmeath, Ireland.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

24798365

Citation

Rai, Birendra, et al. "Paraesophageal Hiatus Hernia in an 8-month-old Infant With Organoaxial Volvulus of the Stomach." BMJ Case Reports, vol. 2014, 2014.
Rai B, Ahmed R, Amer N, et al. Paraesophageal hiatus hernia in an 8-month-old infant with organoaxial volvulus of the stomach. BMJ Case Rep. 2014;2014.
Rai, B., Ahmed, R., Amer, N., & Sharif, F. (2014). Paraesophageal hiatus hernia in an 8-month-old infant with organoaxial volvulus of the stomach. BMJ Case Reports, 2014. https://doi.org/10.1136/bcr-2014-204385
Rai B, et al. Paraesophageal Hiatus Hernia in an 8-month-old Infant With Organoaxial Volvulus of the Stomach. BMJ Case Rep. 2014 May 5;2014 PubMed PMID: 24798365.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Paraesophageal hiatus hernia in an 8-month-old infant with organoaxial volvulus of the stomach. AU - Rai,Birendra, AU - Ahmed,Rabab, AU - Amer,Nazia, AU - Sharif,Farhana, Y1 - 2014/05/05/ PY - 2014/5/7/entrez PY - 2014/5/7/pubmed PY - 2014/9/11/medline JF - BMJ case reports JO - BMJ Case Rep VL - 2014 N2 - Paraesophageal hiatus hernia is an extremely rare variety of hiatus hernia and it is rarely seen in the paediatric age group. We present an instance of this hernia in which an 8-month-old female infant was admitted with a history of ongoing vomiting and irritability since past 7 days. The subsequent imaging study showed paraesophageal hiatus hernia with twisting of the stomach along its longitudinal axis (organoaxial volvulus). Subsequent surgical repair led to the resolution of symptoms. This kind of volvulus is rare in hiatus hernia and once detected it requires prompt surgical management. Given the asymptomatic presentation of hiatus hernia clinicians need to realise that this can be associated with volvulus of stomach which, if left unrepaired, can lead to severe complications. Thus, prompt consideration is necessary with timely surgical referral to alleviate this rare but important variety of hiatus hernia. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/24798365/Paraesophageal_hiatus_hernia_in_an_8_month_old_infant_with_organoaxial_volvulus_of_the_stomach_ L2 - https://casereports.bmj.com/lookup/pmidlookup?view=long&pmid=24798365 DB - PRIME DP - Unbound Medicine ER -