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Case Report
Recurrent type IV hiatal hernia post-esophagectomy requiring hemicolectomy
1 Department of General Surgery, Goulburn Valley Health, 2/2-48 Graham Street, Shepparton, VIC 3630, Australia
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Cambo Keng
2/2-48 Graham Street, Shepparton, VIC 3630,
Australia
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Article ID: 100157Z12CK2025
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Keng C, Goai XY, Al-Habbal Y. Recurrent type IV hiatal hernia post-esophagectomy requiring hemicolectomy. J Case Rep Images Surg 2025;11(1):47–51.ABSTRACT
Introduction: Hiatal hernia is an uncommon but potentially life-threatening complication of esophagectomies.
Case Report: We report a rare case of an incarcerated type IV hiatal hernia in a patient in his mid-70s, which is a recurrence occurring one year following an Ivor–Lewis esophagectomy and repair of his first postoperative hiatal hernia. He underwent successful laparoscopic hiatal hernia repair with mesh reinforcement, along with a right hemicolectomy due to concerns of strangulated colon. We discussed the challenges in diagnosis and the considerations and controversies relevant to the surgical management of such hernias.
Conclusion: There is an apparent scarcity of evidence to guide the management of these hernias. Nevertheless, a high index of suspicion and urgent surgical repair is warranted to improve patient outcomes.
Keywords: Colonic incarceration, Esophagectomy, Hiatal hernia, Mesh repair
SUPPORTING INFORMATION
Author Contributions
Cambo Keng - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Xin Yi Goai - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Yahya Al Habbal - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2025 Cambo Keng et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
