Atypical Presentations of Hiatal Hernia in Two Pediatric Patients

Authors

  • Mohemmed Ajij Department of Pediatrics, Sawai Man Singh Medical College, Jaipur, Rajasthan, India, Author
  • Shambhavi, Shalu Gupta Department of Pediatrics, Lady Harding Medical College and Kalawati Saran Children Hospital, New Delhi, India Author

DOI:

https://doi.org/10.60787/njgp.v15i1.117

Keywords:

respiratory distress, iron deficiency anemia, Hiatus hernia

Abstract

Hiatal hernia is an uncommon condition in children. Its symptoms can vary markedly from none to life-threatening condition, thereby making its diagnosis challenging. We reported two different cases, first a 15-month-old child presenting with respiratory distress, second a 7-year-old boy presenting with resistant iron deficiency anemia. Surgical management was done in both cases, following which both of them improved. To the best of our knowledge, this is the first case report of hiatus hernia in children in this region, with such contrasting presentation. A stepwise and methodical approach to the patients led to early diagnosis.

Downloads

Download data is not yet available.

References

Karpelowsky JS, Wieselthaler N, Rode H. Primary paraesophageal hernia in children. J Pediatr Surg 2006;41:1588-93.

Altorki NK, Yankelevitz D, Skinner DB. Massive hiatal hernias: The anatomic basis of repair. J Thorac Cardiovasc Surg 1998;115: 828-35.

Kohn GP, Price RR, DeMeester SR, Zehetner J, Muensterer OJ, Awad Z, et al. Guidelines for the management of hiatal hernia. Surg Endosc 2013;27:4409-28.

http://emedicine.medscape.com/article/178393-overview#a7. [Last accessed 2016 Dec 26].

Sriram P, Femitha P, Mondal N, Prakash V, Bharathi B, Vishnu Bhat B. Neonatal hiatal hernia − A rare case report. Curr Pediatr Res 2011;15:55-7.

Namgoong JM, Kim DY, Kim SC, Hwang JH. Hiatal hernia in pediatric patients: Laparoscopic versus open approaches. Ann Surg Treat Res 2014;86:264-9.

Ker J, Van Beljon J. Diaphragmatic hernia mimicking an atrial mass: A two-dimensional echocardiographic pitfall and a cause of postprandial

syncope. Cardiovasc J S Afr 2004;15:182-3.

Berger JS, Goldstein M, Dangerfield P, Perry J, Boyd KN. Postoperative chest pain: Accidental discovery of a hiatal hernia while using transthoracic echocardiography to detect myocardial ischemia. Anesth Analg 2011;113:473-5.

Siu CW, Jim MH, Ho HH, Chu F, Chan HW, Lau CP, et al. Recurrent acute heart failure caused by sliding hiatus hernia. Postgrad Med J 2005;81:268-9.

Zaki SA, Dadge D, Shanbag P. Diaphragmatic hernia presenting as gastrointestinal bleeding. Indian Pediatr 2010;47:185-7.

Downloads

Published

2017-01-01

Issue

Section

Case Report

How to Cite

1.
Ajij M, Gupta SS. Atypical Presentations of Hiatal Hernia in Two Pediatric Patients. NJGP [Internet]. 2017 Jan. 1 [cited 2025 Apr. 26];15(1):10-2. Available from: https://njgp.net.ng/index.php/home/article/view/117

Similar Articles

1-10 of 14

You may also start an advanced similarity search for this article.