Esophageal obstruction by mediastinal seroma after laparoscopic repair of a giant hiatal hernia: a case report

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61383082%3A_____%2F25%3A00001630" target="_blank" >RIV/61383082:_____/25:00001630 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11130/25:10505154

Result on the web

<a href="https://pubmed.ncbi.nlm.nih.gov/41214820/" target="_blank" >https://pubmed.ncbi.nlm.nih.gov/41214820/</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1186/s13256-025-05653-w" target="_blank" >10.1186/s13256-025-05653-w</a>

Result language

angličtina

Original language name

Esophageal obstruction by mediastinal seroma after laparoscopic repair of a giant hiatal hernia: a case report

Original language description

Background: Hiatal hernia is increasingly prevalent in the Western population. Its incidence increases with age and morbid obesity and is higher in females. Symptomatic hiatal hernias, particularly grade IV, are associated with significant morbidity and severe symptoms, and often necessitate acute surgical intervention. Case presentation: We present a case of a 64-year-old Caucasian female patient with acute symptoms of a giant paraesophageal hernia containing the entire stomach, the proximal duodenum with D2 compression, and the pancreatic head. Laparoscopic hernia reduction with Nissen fundoplication was performed. However, 1 month later, the patient returned with symptoms of complete esophageal obstruction due to food impacted in the distal esophagus compressed by a mediastinal seroma. Conservative management after gastroscopic clearance of the impacted food was successful. Conclusion: Management of grade IV hiatal hernias is challenging, burdened with high complication rates and increased morbidity. Rare complications, such as a seroma obstructing the distal esophagus, lack evidence-based standardized treatment. This case underscores the need for vigilant postoperative management and reviews literature on the management of complex grade IV paraesophageal hernias, including rare postoperative complications.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30212 - Surgery

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2025

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of Medical Case Reports

ISSN

1752-1947

e-ISSN

—

Volume of the periodical

19

Issue of the periodical within the volume

1

Country of publishing house

GB - UNITED KINGDOM

Number of pages

4

Pages from-to

1-4

UT code for WoS article

001610731900003

EID of the result in the Scopus database

2-s2.0-105021426365