Author/Authors :
Afghani، Reza نويسنده 5 Azar Hospital,Golestan University of Medical Sciences,Gorgan,Iran , , Haji mohammadi، Amir نويسنده 5-Azar Hospital,Golestan University of Medical Science,Gorgan,Iran , , Norouzi Asl، Sina نويسنده 5-Azar Hospital,Golestan University of Medical Science,Gorgan,Iran , , Bagherian، Farzad نويسنده 5-Azar Hospital,Golestan University of Medical Science,Gorgan,Iran ,
Abstract :
In this case report, we described a 74-year-old female patient with major complaint of respiratory problems and dyspnea after meal. Chest X-ray of the patient revealed a gianttype IV hiatal hernia. Preoperative evaluations of the patient included esophagoscopy, esophageal manometry, barium swallow, and CT-scan. Repair of the hernia was performed using a dual mesh on the diaphragm and partial anterior fundoplication (Dor fundoplication). After a six-month follow-up, the overall condition of the patient issatisfactory, exceptmild intermittent dysphagia due to esophageal dysmotility.