JPGN Rep
. 2024 Jan 25;5(2):186-189.
doi: 10.1002/jpr3.12042. eCollection 2024 May. https://pubmed.ncbi.nlm.nih.gov/38756129/
Congenital mixed hiatal hernia: A case report of an atypical cause of neonatal vomiting
Katia N Estrada-Medrano 1 2, Sergio J Fernández-Ortiz 2, Oscar Tamez-Rivera 2, Enrique G Villarreal 1 2
Affiliations expand
- PMID: 38756129
- PMCID: PMC11093932
- DOI: 10.1002/jpr3.12042
Abstract
Congenital mixed hiatal hernia is a disorder that combines features of both sliding and paraoesophageal hernias. The precise incidence of congenital mixed hiatal hernia during the pediatric and neonatal period remains uncertain, making diagnosis challenging within this age cohort. This case presents a 15-day-old female with an 8% postnatal weight loss and apost-feeding vomiting. An upper gastrointestinal series, computer tomography, and upper endoscopy revealed a mixed hiatal hernia. The patient underwent a laparoscopic herniorrhaphy and Nissen fundoplication achieving successful resumption of complete oral feeding before discharge. Diagnosis and management of this condition in neonates remain challenging due to its rarity and variable clinical presentations. This report emphasizes the importance of early recognition, accurate diagnosis, and tailored management strategies in the neonatal period. Further research, with a collaborative effort between pediatricians and surgeons, is needed to refine diagnostic criteria, establish evidence-based management approaches, and improve outcomes for affected children.
Keywords: congenital diaphragmatic defect; diaphragmatic hernia; hiatal hernia; infant.
© 2024 The Authors. JPGN Reports published by Wiley Periodicals LLC on behalf of The European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.
