Clinical Study

Congenital Paraesophageal Hernia with Intrathoracic Gastric Volvolus in Two Sisters

Table 1

Clinical features of paraesophageal hernia.

No.AgeSexPresentationDuration of symptomsAssociated anomaliesSiteTreatment

(1)2 daysFRespiratory distressSince birthPremature + congenital heart diseaseRRepair + Nissen's fundoplication

(2)3 monthsFRecurrent attacks of vomiting, failure to thrive1 weekNoneRRepair + gastropexy

(3)1 yearFRecurrent vomiting, epigastric pain, and fullness3 monthsSickle cell diseaseRRepair + Nissen's fundoplication

(4)1.5 yearsFRecurrent chest infection and failure to thrive1 yearCongenital heart diseaseRRepair + Nissen's fundoplication

(5)1 year and 9 monthsMRecurrent chest infectionSince 1.5 months oldNoneRRepair + Nissen's fundoplication

(6)2.5 yearsMRecurrent chest infection6 monthsRight inguinal herniaRRepair

(7)2.5 yearsMRecurrent attacks of cough and vomiting1 yearEsophageal atresia and trachea-esophageal fistulaLRepair + Nissen's fundoplication