Pediatr Gastroenterol Hepatol Nutr.  2012 Jun;15(2):100-104.

A Case of Congenital Paraesophageal Hiatal Hernia in Infancy

  • 1Department of Pediatrics, Hanil General Hospital, Seoul, Korea.
  • 2Department of Radiology, Hanil General Hospital, Seoul, Korea.
  • 3Department of Pediatric Surgery, Seoul National University College of Medicine, Seoul, Korea.


Esophageal hiatal hernia is the hernia of a part of or the whole of stomach to posterior mediastinum through esophageal hiatus. Esophageal hiatal hernia can be classified as sliding hiatal hernia (type I), paraesophageal (type II), combined sliding and paraesophageal (type III), and complex paraesophageal (type IV). Type III and IV are clinically classified as paraesophageal hernia. The authors by chance found cystic mass filled with air in the lower lobe of the right lung during the treatment of mycoplasma pneumonia of 10 month-old patient. It was found to be paraesophageal hernia on the chest computed tomography and treated with the operation. As complex paraesophageal hernia is not usual among infants, the authors report it here with literature review.


Hiatal hernia; Paraesophageal hiatal hernia; Congenital; Pneumonia; Mycoplasma

MeSH Terms

Hernia, Hiatal
Pneumonia, Mycoplasma


  • Fig. 1 The initial chest radiograph shows pneumonia in right lower lobe.

  • Fig. 2 After eight days, chest radiograph shows cystic mass filled with air in right lower lung.

  • Fig. 3 Chest HR MDCT (NCE) s (Coronal A, Axial B, Sagital B) show right side upward displaced gaseous distended gasric fundus and focal narrowing of the gastric body (arrow).


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