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KMID : 0364019760090020287
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Korean Journal of Thoracic and Cardiovascular Surgery
1976 Volume.9 No. 2 p.287 ~ p.292
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Congenital Esophageal Hiatus Hernia
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鄭崙采/Chung, Yun Chae
吳哲洙/李宗培/池行玉/金近鎬/李謹洙/Oh, Chul Soo/Rhee, Chong Bae/Jee, Heng Ok/Kim, Kun Ho/Lee, Keun Soo
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Abstract
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This is a report of a case of congenital esophageal hiatus hernia, occurring in a younger child at the age of one year and two months.
The child was suffered from vomiting (intermittently coffee-ground vomitus or blood-flecked vomitus), coughing, and high fever for about 3 months.
Diagnosis was confirmed by the radiologic barium study of the gstro-intestinal tracts.
The herniated organs were entire stomach and a part of the transverse colon. They were located in the right chest. The etiologic pathology were mainly congenital developmental defect of the musculature of the diaphragm, forming the posterior margion of the esophgeal hiatus, and additionally slight shorted esophagus.
After reduction of herniated organs back to the abdominal cavity through abdominal approach, herniorrhaphy was performed through transthoracal approach with modified
Allison´s procedure. At the same time, any associated anomalies, such as hypertrophlc pyloric stenosis, were not seen.
Postoperative course was uneventful.
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