Post-Esophagectomy Hiatal Hernia of the Colon

The patient is a 51-year-old male who had undergone robotic Ivor-Lewis esophagectomy with manual anastomosis and hiatal closure around the gastric plasty. No postoperative complications were observed, and the patient was discharged after 11 days. Three days later, he came to the emergency room with sudden abdominal pain and vomiting. Thoracoabdominal radiography and CT scan revealed a transhiatal herniation of the colon with large retrograde dilation (Fig. 1). We decided to perform urgent laparoscopic surgery. After reducing the hernia content, the hiatal orifice was closed and a left chest tube was inserted. The patient evolved favorably and was discharged 4 days after hospitalization.

Fig. 1