PMC5856679_01
Omentum herniated to the thorax and a portion of the stomach in retromediastinum space.
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She also referred dyspnea; she went to another institution where made a CAT scan finding a GPEH (Fig. 1).
I. The initial view of the Hiatus. II. Reduction of the stomach III & IV. Reduction and dissection of the Colon.
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We follow the principal objectives, reducing the hernia, dissecting al de hernia sac excision, Hiatal reparation with no mesh, and Nissen type fundoplication without Collis Gastroplasty (Fig. 2).
1. Final steps in sach excision. 2. Hiatal view with a small portion of the intraabdominal esophagus. 3&4 Nissen fundoplication.
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Follow up was no possible, the patient didn't came back to additional checkups (Fig. 3).