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Ann Thorac Surg 2008;85:321-322. doi:10.1016/j.athoracsur.2007.07.054
© 2008 The Society of Thoracic Surgeons
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Case Reports

Traumatic Right Paraesophageal Hernia After Belsey Mark IV Fundoplication

Megan L. Durr, BS*, Stephen C. Yang, MD

Department of Surgery, Division of Thoracic Surgery, Johns Hopkins Medical Institution, Baltimore, Maryland

Accepted for publication July 19, 2007.

* Address correspondence to Ms Durr, 600 N Wolfe St, Blalock 240, Baltimore, MD 21287 (Email: durr{at}jhmi.edu).

We report the case of a 70-year-old woman with a long history of achalasia and gastroesophageal reflux disease who presented with an acute right-sided paraesophageal hernia after a motor vehicle accident. Six months before the accident, she underwent an elective Belsey Mark IV fundoplication to reduce a hiatal hernia. The traumatic paraesophageal hernia traversed the diaphragm at a weakness opposite the fundoplication. The clinical presentation, surgical management, and previous literature are discussed.






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