Author/Authors :
Yousefi، Yousef نويسنده Endoscopic and Minimally Invasive Surgery Research Center, Faculty of Medicine,Mashhad University of Medical Sciences,Mashhad,Iran , , Sadrizadeh، Ali نويسنده Cardio-Thoracic Surgery & Transplant Research Center, Emam Reza Hospital, Faculty of Medicine,Mashhad University of Medical Sciences,Mashhad,Iran , , Rezaei، Reza نويسنده Cardio-Thoracic Surgery & Transplant Research Center, Emam Reza Hospital, Faculty of Medicine,Mashhad University of Medical Sciences,Mashhad,Iran , , Arian، Yalda نويسنده Ovulation Dysfunction Research Center, Faculty of Medicine,Mashhad University of Medical Sciences,Mashhad,Iran ,
Abstract :
Diaphragmatic hernia, secondary to transhiatal esophagectomy, appears to be a relatively infrequent diagnosis. Patients may be asymptomatic or present with various symptoms. Diagnosis of this condition requires a high index of suspicion. The most common cause of diaphragmatic hernia is widened esophageal hiatus during surgery therefore, narrowing the hiatus can prevent conduit herniation. Herein, we present the case of a 65yearold man, who underwent transhiatal esophagectomy and gastric pullup for squamous cell carcinoma six years ago. The patient was asymptomatic and diaphragmatic hernia was detected unexpectedly in the surveillance followup interval. In the present report, we also aimed to discuss the risk factors, as well as preventive and treatment methods.
