{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:40:16Z","timestamp":1768434016172,"version":"3.49.0"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2014,10,30]],"date-time":"2014-10-30T00:00:00Z","timestamp":1414627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>Type IV paraesophageal hernias (PEHs) have been rarely reported in the literature. Transverse colon is the most common viscus to herniate in this category.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE<\/jats:title>\n                    <jats:p>Herein we present a case with an emergent admission of a 66 year old man with type IV PEH with small intestine into the hernia sac.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>The diagnosis of PEHs can be challenging due to their extremely low incidence and the non-specific symptoms and can be easily missed from the initial differential diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>In this case, the hernia was diagnosed early and managed successfully with an immediate laparotomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2014.10.090","type":"journal-article","created":{"date-parts":[[2014,11,21]],"date-time":"2014-11-21T14:30:01Z","timestamp":1416580201000},"page":"43-45","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Type IV paraesophageal hernia as a cause of ileus"],"prefix":"10.1097","volume":"6","author":[{"given":"Marinos C.","family":"Makris","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Demetrios","family":"Moris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evripides","family":"Yettimis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaos","family":"Varsamidakis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-13-20260114","first-page":"497","article-title":"Giant paraesophageal hiatus hernia with intrathoracic stomach and colon: the case for early repair","volume":"86","author":"Wichterman","year":"1979","journal-title":"Surgery"},{"key":"R2-13-20260114","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/j.ajem.2008.05.009","article-title":"A surgical emergency due to an incarcerated paraesophageal 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Inwazyjne"},{"key":"R6-13-20260114","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1007\/DCR.0b013e318199dbe6","article-title":"Isolated intrathoracic hiatal herniation of the twisted sigmoid colon: report of a case","volume":"52","author":"Yildiz","year":"2009","journal-title":"Dis Colon Rectum"},{"key":"R7-13-20260114","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1089\/109264203764654731","article-title":"Isolated trans-hiatal colonic herniation","volume":"13","author":"Felsher","year":"2003","journal-title":"J Laparoendosc Adv Surg Tech A"}],"container-title":["International Journal of Surgery Case 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case"],"short-title":[],"issued":{"date-parts":[[2015,1]]},"references-count":7,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2015]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2014.10.090","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2015,1]]}}}