A Case of Esophageal Hiatal Hernia with Incarceration of the Gastric Antrum and Duodenal Bulb

Satoshi Itano, Norihiko Terada, Sadayuki Horiki, Akira Endo and Yasuyuki Ohtawa

Department of Surgery, Terada Hospital

We report a very rare case of esophageal hiatal hernia with incarceration of the gastric antrum and duodenal bulb. A 52-year-old woman reporting a sense of fullness after eating, vomiting, and a weight loss of 14 kg was found in gastric endoscopy and X-ray to have an esophageal hiatal hernia with incarceration of the gastric antrum and duodenal bulb, The gastric antrum and duodenal bulb were surgically removed and the hernia open closed, The postoperative findings showed the stomach and duodenal bulb had returned to normal positions and the passage from the stomach to the duodenum was improved, In esophageal hiatal hernia incarceration of an organ other than the stomach is very rare and our case with an incarcerated duodenal bulb is only the fifth case in the Japanese literature.

Key words
esophageal hiatal hernia, duodenal bulb incarceration

Reprint requests
Satoshi Itano Terada Hospital
3260-1 Natsumi, Nabari-city, 518-0441 JAPAN

Accepted
July 28, 2004

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