Resumo

NAPOLES VALDES, Mirian Belkis; CHONGO GOMEZ, Yenisley; LORENZO CASTILLO, Francisco  e  PEREZ RODRIGUEZ, Oscar D.. Presentation of Paraesophageal hiatal hernia. A case report. Gac Méd Espirit [online]. 2014, vol.16, n.2, pp. 124-130. ISSN 1608-8921.

Background: hiatal hernia is a condition of the digestive tract; within it the paraesophageal variety is uncommon. Objective: to offer a clinical and surgical review of this kind of paraesophageal hiatal hernia and perform a differential diagnosis with cardiovascular pathologies due to the severe complications this disease may bring about. A case presentation : a 60 years- old patient came to the gastroenterology consultation presenting precordial and epigasttric pain when eating great amount of food, precocious satiety, frequent dysphagia due to liquids consumption, acid regurgitation, food exit through the nasal cavity and loss of weight. A contrasted study of esophagus, stomach and duodenum was done and it was diagnosed paraesophageal hiatal hernia, he underwent laparoscopic surgery where hernia reduction, pilars surgery and Nissen funduplication were performed and the prognosis was good. Conclusions: before presenting precordial pain, it is necessary to take into account its semiology and differenciate cardiovascular from non-cardiovascular pain as in paraesophageal hiatal hernia its complications have a high morbi-mortality.

Palavras-chave : paraesophageal hiatal hernia; diagnosis; surgery; case studies.

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