Iraqi Postgraduate Medical Journal

Abstract

ABSTRACT:
BACKGROUND:
Congenital right sided intra-thoracic hiatal hernia is an uncommon clinical
entity consisting of herniation of a viscous through congenitally abnormal esophageal hiatus into
an intra-thoracic location .
AIM OF THE STUDY :
Is to present the diagnostic challenge and the surgical management of eight cases of this
uncommon congenital anomaly admitted during asix years period (2000 – 2005 ) to the medical
city teaching complex in Baghdad . Iraq and to compare the study with other international studies.
METHODS :
Eight patients were studied retrospectively in details as regard the age , sex , clinical
manifestations , radiological findings . Details of the operative findings and the surgical outcome .
RESULTS :
All the patients had right sided intra-thoracic abdominal organ herniation mostly the stomach , all
the patients ahad large hiatus , the patients were managed successfully through laparatomy with
uneventful postoperative course .
CONCLUSION:
This uncommon variety of the congenital hiatal hernia presented a diagnostic challenge to the
pediatrician , pediatric surgeon and the thoracic surgeon .Laparatomy was the procedure of
choice and adding an anti –reflux procedure is highly indicated