Hiatal hernia: a diagnostic and therapeutic challenge. Case report

Abstract

The clinical presentation of a hiatal hernia, is a true diagnostic and therapeutic challenge for the health staff, because the presence of gastroesophageal reflux disease is not a synonym for hiatal hernia and on the other hand, a hiatal hernia not always debuts with gastroesophageal reflux disease, but rather manifests with extra abdominal symptoms such as chest pain or pulmonary manifestations. We present the case of a 66-year-old patient with a hiatal hernia type III with clinical manifestation of recurrent pneumonias, to whom the repair of the hernia defect was performed laparoscopically in conjunction with a 360 Nissen fundoplication, achieving total recovery quickly. The infrequency of this variety of hiatal hernia, and minimal invasive approach with immediate recovery of the patient make this case interesting for the medical literature and community. MÉD.UIS. 2017;30(2):83-8.

Keywords: Hernia, Hiatal. Gastroesophageal Reflux. Herniorrhaphy. Laparoscopy.