Pediatr Gastroenterol Hepatol Nutr.  2012 Jun;15(2):100-104.

A Case of Congenital Paraesophageal Hiatal Hernia in Infancy

• Jang WN
• Park IS
• Park KW
• Yoo SY
• Lee J
• Cho SH

Abstract

Esophageal hiatal hernia is the hernia of a part of or the whole of stomach to posterior mediastinum through esophageal hiatus. Esophageal hiatal hernia can be classified as sliding hiatal hernia (type I), paraesophageal (type II), combined sliding and paraesophageal (type III), and complex paraesophageal (type IV). Type III and IV are clinically classified as paraesophageal hernia. The authors by chance found cystic mass filled with air in the lower lobe of the right lung during the treatment of mycoplasma pneumonia of 10 month-old patient. It was found to be paraesophageal hernia on the chest computed tomography and treated with the operation. As complex paraesophageal hernia is not usual among infants, the authors report it here with literature review.

Keyword

Hiatal hernia; Paraesophageal hiatal hernia; Congenital; Pneumonia; Mycoplasma

MeSH Terms

Hernia
Hernia, Hiatal
Humans
Infant
Lung
Mediastinum
Mycoplasma
Pneumonia
Pneumonia, Mycoplasma
Stomach
Thorax

Figure

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  Fig. 1 The initial chest radiograph shows pneumonia in right lower lobe.

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  Fig. 2 After eight days, chest radiograph shows cystic mass filled with air in right lower lung.

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  Fig. 3 Chest HR MDCT (NCE) s (Coronal A, Axial B, Sagital B) show right side upward displaced gaseous distended gasric fundus and focal narrowing of the gastric body (arrow).

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