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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216208:11130/25:10505154

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30212 - Surgery

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

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

Název periodika

Journal of Medical Case Reports

ISSN

1752-1947

e-ISSN

—

Svazek periodika

19

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

4

Strana od-do

1-4

Kód UT WoS článku

001610731900003

EID výsledku v databázi Scopus

2-s2.0-105021426365