case_images: PMC10898948_01
case_images: The mediastinum is enlarged, and gas-filled structures are observed.
case_images: CRIS2024-8837649.001.jpg
case_images: PMC10898948_01_CRIS2024-8837649.001.jpg
case_images: fig1
case_images: Chest X-ray and computed tomography revealed a type IV hiatal hernia of the esophagus (Figures 1 and 2), and the ileum was incarcerated, causing small bowel obstruction (Figures 2 and 3).
case_images: White arrow indicates caliber changes in the small intestine (axial section).
case_images: CRIS2024-8837649.002.jpg
case_images: PMC10898948_01_CRIS2024-8837649.002.jpg
case_images: fig2
case_images: Chest X-ray and computed tomography revealed a type IV hiatal hernia of the esophagus (Figures 1 and 2), and the ileum was incarcerated, causing small bowel obstruction (Figures 2 and 3).
case_images: White arrow indicates changes in the caliber of the small intestine (coronal section).
case_images: CRIS2024-8837649.003.jpg
case_images: PMC10898948_01_CRIS2024-8837649.003.jpg
case_images: fig3
case_images: Chest X-ray and computed tomography revealed a type IV hiatal hernia of the esophagus (Figures 1 and 2), and the ileum was incarcerated, causing small bowel obstruction (Figures 2 and 3).
case_images: Incarcerated ileum in the esophageal hiatus.
case_images: CRIS2024-8837649.004.jpg
case_images: PMC10898948_01_CRIS2024-8837649.004.jpg
case_images: fig4
case_images: During the surgery, the incarcerated ileum was carefully reduced (Figure 4).
case_images: Esophageal hiatus being sutured and closed with mesh.
case_images: CRIS2024-8837649.005.jpg
case_images: PMC10898948_01_CRIS2024-8837649.005.jpg
case_images: fig5
case_images: The lower esophagus in the mediastinum was fully mobilized, suture closure of the esophageal hiatus was performed, and the mesh was fixed to the diaphragm (Figure 5).