Traumatic right paraesophageal hernia after Belsey Mark IV fundoplication.

Durr, Megan L; Yang, Stephen C · Ann Thorac Surg · 2008

case_report · Level V

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Abstract

We report the case of a 70-year-old woman with a long history of achalasia and gastroesophageal reflux disease who presented with an acute right-sided paraesophageal hernia after a motor vehicle accident. Six months before the accident, she underwent an elective Belsey Mark IV fundoplication to reduce a hiatal hernia. The traumatic paraesophageal hernia traversed the diaphragm at a weakness opposite the fundoplication. The clinical presentation, surgical management, and previous literature are discussed.

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