腹腔鏡下に修復した心不全症状合併多臓器陥入食道裂孔ヘルニアの1例

石橋 雄次; 高橋 深幸; 末松 友樹; 大森 敬太; 若林 和彦; 伊藤 豊

doi:10.3919/jjsa.77.1069

Case Reports

A Case of Hiatal Hernia Containing Multiple Organs and Causing Heart Failure

Yuji ISHIBASHI, Miyuki TAKAHASHI, Yuki SUEMATSU, Keita OMORI, Kazuhiko WAKABAYASHI, Yutaka ITO

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Keywords: hiatal hernia, heart failure, laparoscopic surgery

JOURNAL FREE ACCESS

2016 Volume 77 Issue 5 Pages 1069-1072

DOI https://doi.org/10.3919/jjsa.77.1069

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Abstract

A 61-year-old woman was referred to our hospital because of dyspnea, wheezing, and tachycardia. Computed tomography revealed a giant hiatal hernia with protrusion of the stomach, duodenal bulb, transverse colon, ileum, and pancreatic tail through the hiatus. The hernia contents were believed to have caused symptoms due to lung and heart compression. She underwent a radical laparoscopic operation involving repair of the hiatal hernia using polytetrafluorethylene mesh and Nissen fundoplication. The postoperative course was uneventful, and the symptoms improved. We report this case of giant hiatal hernia causing heart failure.

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