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Sueyoshi K, Inoue Y, Sumi Y, et al. A case of omental herniation through the esophageal hiatus successfully treated by laparoscopic surgery. Acute Med Surg. 2017;4(3):367-370doi: 10.1002/ams2.288.
Sueyoshi, K., Inoue, Y., Sumi, Y., Okamoto, K., Azuma, D., Yoshikawa, S., Fukunaga, M., & Tanaka, H. (2017). A case of omental herniation through the esophageal hiatus successfully treated by laparoscopic surgery. Acute medicine & surgery, 4(3), 367-370. https://doi.org/10.1002/ams2.288
Sueyoshi, Koichiro, et al. "A case of omental herniation through the esophageal hiatus successfully treated by laparoscopic surgery." Acute medicine & surgery vol. 4,3 (2017): 367-370. doi: https://doi.org/10.1002/ams2.288
Sueyoshi K, Inoue Y, Sumi Y, Okamoto K, Azuma D, Yoshikawa S, Fukunaga M, Tanaka H. A case of omental herniation through the esophageal hiatus successfully treated by laparoscopic surgery. Acute Med Surg. 2017 Jul 06;4(3):367-370. doi: 10.1002/ams2.288. eCollection 2017 Jul. PMID: 29123893; PMCID: PMC5674477.
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Acute Med Surg. 2017 Jul 06;4(3):367-370. doi: 10.1002/ams2.288. eCollection 2017 Jul.

A case of omental herniation through the esophageal hiatus successfully treated by laparoscopic surgery.

Acute medicine & surgery

Koichiro Sueyoshi, Yoshiaki Inoue, Yuka Sumi, Ken Okamoto, Daisuke Azuma, Seiichiro Yoshikawa, Masaki Fukunaga, Hiroshi Tanaka

Affiliations

  1. Department of Emergency and Critical Care Medicine Juntendo University Urayasu Hospital Urayasu Chiba Japan.
  2. Department of Emergency and Critical Care Medicine University of Tsukuba Tsukuba Ibaraki Japan.
  3. Department of Surgery Juntendo University Urayasu Hospital Urayasu Chiba Japan.

PMID: 29123893 PMCID: PMC5674477 DOI: 10.1002/ams2.288

Abstract

CASE: We report a rare case of omental herniation through the esophageal hiatus. A 46-year-old man visited our emergency department complaining of epigastralgia. Abdominal examination revealed muscular defense and rebound tenderness in his upper abdomen. A computed tomography scan showed a fat density mass in the posterior mediastinum. A laparoscopic operation was carried out under the diagnosis of omental herniation through the esophageal hiatus.

OUTCOME: Abdominal pain disappeared dramatically after the operation. The postoperative course was uneventful.

CONCLUSION: Although a fat density mass in the posterior mediastinum is likely to be diagnosed as a lipomatous tumor, omental herniation through the esophageal hiatus should be taken into consideration as a possible diagnosis for acute abdominal pain in the emergency department.

Keywords: CT; laparoscopy; mediastinum; omental herniation; paraesophageal hernia

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