Type IV paraesophageal hernia as a cause of ileus: Report of a case.

INTRODUCTION

Type IV paraesophageal hernias (PEHs) have been rarely reported in the literature. Transverse colon is the most common viscus to herniate in this category.

PRESENTATION OF CASE: Herein we present a case with an emergent admission of a 66 year old man with type IV PEH with small intestine into the hernia sac.

DISCUSSION: The diagnosis of PEHs can be challenging due to their extremely low incidence and the non-specific symptoms and can be easily missed from the initial differential diagnosis.

CONCLUSION

In this case, the hernia was diagnosed early and managed successfully with an immediate laparotomy.