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MINI REVIEW article
Front. Surg.
Sec. Thoracic Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1543955
This article is part of the Research Topic Advances in Esophageal Cancer: Treatment Updates and Future Challenges View all 7 articles
Colonic Hiatal Hernia Leading to Obstruction After Minimally Invasive McKeown Esophagectomy: A Case Report
Provisionally accepted- 1 School of Clinical Medicine, Shandong Second Medical University, Weifang, China
- 2 Weifang People's Hospital, Weifang, Shandong Province, China
A 62-year-old man presented with acute abdominal pain and signs of bowel obstruction eight months after undergoing a minimally invasive McKeown esophagectomy for esophageal squamous-cell carcinoma. Initial imaging did not reveal a hernia, and conservative management was unsuccessful. Re-evaluation of imaging suggested a hiatal hernia, and thoracoscopic exploration confirmed a large hernia with the transverse colon herniating into the thoracic cavity. Surgical repair involved reduction of the herniated colon and repair of the diaphragmatic hiatus. The patient recovered uneventfully. This case highlights the diagnostic challenges of post-esophagectomy hiatal hernias and the importance of prompt surgical intervention.
Keywords: ：Colonic Hiatal Hernia, Mckeown esophagectomy, Intestinal Obstruction, Esophageal squamous-cell carcinoma, Esophageal hiatus, post esophagectomy hiatal hiatus
Received: 12 Dec 2024; Accepted: 28 Mar 2025.
Copyright: © 2025 Ma, Wang, Li, Pang and Lu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Hengxiao Lu, Weifang People's Hospital, Weifang, 261000, Shandong Province, China
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