Type IV paraesophageal hernia as a cause of ileus: Report of a case

AbstractINTRODUCTIONType IV paraesophageal hernias (PEHs) have been rarely reported in the literature. Transverse colon is the most common viscus to herniate in this category.PRESENTATION OF CASEHerein we present a case with an emergent admission of a 66 year old man with type IV PEH with small intestine into the hernia sac.DISCUSSIONThe diagnosis of PEHs can be challenging due to their extremely low incidence and the non-specific symptoms and can be easily missed from the initial differential diagnosis.CONCLUSIONIn this case, the hernia was diagnosed early and managed successfully with an immediate laparotomy