Hernia hiatal mixta: Reporte de un caso

• Main Authors: Miguel García Rodríguez, Oscar Duménigo Arias
• Format: Article
• Language: Spanish
• Published: Editorial Ciencias Médicas 2002-08-01
• Series: Revista Cubana de Cirugía
• Subjects: HERNIA HIATAL; HERNIA, HIATAL
• Online Access: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932002000200010
• ISSN: 1561-2945; 0034-7493

Se presenta una paciente en la sexta década de la vida, con sintomatología digestiva alta de 4 años de evolución, caracterizada por epigastralgia, acidez y vómitos que no resuelve con tratamiento médico y a la cual se le realiza un estudio radiográfico contrastado de esófago, estómago y duodeno, donde se diagnostica una hernia hiatal mixta, la cual se interviene por vía abdominal y se le realiza cierre del pilar derecho del hiato esofágico y funduplicatura tipo Nissen I, con lo cual se le cura definitivamente. Por la magnitud y lo infrecuente de esta variedad de hernia hiatal, la consideramos de interés para la literatura médica<br>The case of a female patient at her sixth decade of life with high digestive symptomatology of 4 years of evolution, characterized by epigastralgia, acidity and vomits, is presented. As the patient did not resolve with medical treatment, she underwent a radiological contrast study of the esophagus, stomach and duodenum, where a mixed hiatal hernia was diagnosed. She was operated on through the abdomen. Closing of the right pillar of the esophageal hiatus and Nissen I type fundoplication, with which she was definitely cured, were performed. Taking into account the magnitude and uncommonness of this variety of hiatal hernia, we consider it is of interest for medical literature