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

ABSTRACT:

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 mediast

SUBMITTER: Schutz SO 

PROVIDER: S-EPMC12604330 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature