[Esophageal varies in struma permagna associated with gastric volvulus].
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Laparoscopic surgery for paraesophageal hernia is well accepted. However, the complications of this relatively new procedure have not been thoroughly investigated. Only four cases of recurrent volvulus after paraesophageal hernia repair have been reported. A 52-year-old man presented with a large right-side paraesophageal hernia. He experienced a retroperitoneal midgastric volvulus despite correct orientation of the stomach distally and proximally. We report an unusual complication that seems congenital in origin. Diagnostic and corrective measures are suggested.
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Paraesophageal hiatus hernia is a very rare entity in children. The majority of cases remain asymptomatic and some are diagnosed incidentally. The clinical course of a massive paraesophageal hiatus hernia containing colon and stomach in a five-year-old boy is presented.
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