IS Case 97: Type III Paraesophageal Hernia
Imaging Sciences URMC 2008
Publication Date: 2009-05-20
Type III Paraesophageal Hernia
There are 3 major types of hiatal hernias:
Symptoms may include GERD, epigastric pressure, postprandial dyspnea and/or vomiting. Complications that may arise include gastritis, ulceration and bleeding into the hernia secondary to venous and lymphatic obstruction causing hemorrhagic/edematous rugal folds.
The most dreaded complication is strangulation of the hernia sac which can occur in 30% of patients with a Type III (paraesophageal) hernia. This is suspected when there is acute worsening of abdominal pain. Secondary to this potentially fatal condition Type III hernias usually require surgical repair.
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