{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T05:27:21Z","timestamp":1749619641072},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,5,25]],"date-time":"2020-05-25T00:00:00Z","timestamp":1590364800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,5,25]],"date-time":"2020-05-25T00:00:00Z","timestamp":1590364800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>While anastomotic leakage, recurrent laryngeal nerve paralysis, and pneumonia are well-known complications of esophagectomy, the incidence of hiatal hernia after esophagectomy for carcinoma has been reported to only be between 0.6 and 10%. We report a very rare case of hiatal hernia with transverse colon rupture in the mediastinum after esophagectomy in a 65-year-old woman.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>The patient underwent definitive chemoradiotherapy for clinical stage IIA esophageal squamous cell carcinoma and salvage esophagectomy with gastric tube reconstruction through a posterior mediastinum route for residual carcinoma. Three years after the initial surgery, two metastatic nodules in the lateral and posterior segments of the liver were detected on follow-up CT and were treated with oral anticancer drugs. After 6 months, the patient was readmitted for anorexia. Upon admission, computed tomography revealed an ileus caused by a hiatal hernia. Emergent operative repair was performed; an incarcerated herniation of the transverse colon was perforated in the mediastinum, and partial transverse colon resection and colostomy were performed. Intensive care was required to control septic shock after surgery, and the patient was discharged on the 53rd postoperative day.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Cases of hiatal hernia with digestive tract prolapsing into the mediastinum after esophagectomy with reconstruction through posterior mediastinum are rare but potentially life-threatening complications.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s40792-020-00862-5","type":"journal-article","created":{"date-parts":[[2020,5,25]],"date-time":"2020-05-25T14:02:58Z","timestamp":1590415378000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Transverse colon perforation in the mediastinum after esophagectomy: a case report"],"prefix":"10.1186","volume":"6","author":[{"given":"Takuro","family":"Konno-Kumagai","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadashi","family":"Sakurai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Taniyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiaki","family":"Sato","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Takaya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Ito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Kamei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,5,25]]},"reference":[{"key":"862_CR1","doi-asserted-by":"publisher","first-page":"5419","DOI":"10.1007\/s00464-016-4899-5","volume":"30","author":"J Matthews","year":"2016","unstructured":"Matthews J, Bhanderi S, Mitchell H, Whiting J, Vohra R, Hodson J, Griffiths E. Diaphragmatic herniation following esophagogastric resectional surgery: an increasing problem with minimally invasive techniques? Surg Endosc. 2016;30:5419\u201327.","journal-title":"Surg Endosc"},{"issue":"3","key":"862_CR2","doi-asserted-by":"publisher","first-page":"975","DOI":"10.1016\/j.athoracsur.2008.04.098","volume":"86","author":"MS Kent","year":"2008","unstructured":"Kent MS, Luketich JD, Tsai W, Churilla P, Federle M, Landreneau R, Alvelo-Rivera M, Schuchert M. Revisional surgery after esophagectomy: an analysis of 43 patients. Ann Thorac. 2008;86(3):975\u201383.","journal-title":"Ann Thorac"},{"issue":"11","key":"862_CR3","doi-asserted-by":"publisher","first-page":"3681","DOI":"10.1245\/s10434-015-4366-x","volume":"22","author":"S Narayanan","year":"2015","unstructured":"Narayanan S, Sanders RL, Herlitz G, Langenfeld J, August DA. Treatment of diaphragmatic hernia occurring after transhiatal esophagectomy. Ann Surg Oncol. 2015;22(11):3681\u20136.","journal-title":"Ann Surg Oncol"},{"issue":"3","key":"862_CR4","doi-asserted-by":"publisher","first-page":"1068","DOI":"10.1007\/s00464-015-4299-2","volume":"30","author":"B Ulloa Severino","year":"2016","unstructured":"Ulloa Severino B, Fuks D, Christidis C, Denet C, Gayet B, Perniceni T. Laparoscopic repair of hiatal hernia after minimally invasive esophagectomy. Surg Endosc. 2016;30(3):1068\u201372.","journal-title":"Surg Endosc"},{"issue":"3","key":"862_CR5","doi-asserted-by":"publisher","first-page":"684","DOI":"10.1016\/j.ijrobp.2010.06.033","volume":"81","author":"K Kato","year":"2011","unstructured":"Kato K, Muro K, Minashi K, Ohtsu A, Ishikura S, Boku N, Takiuchi H, Komatsu Y, Miyata Y, Fukuda H. Phase II study of chemoradiotherapy with 5-fluorouracil and cisplatin for stage II-III esophageal squamous cell carcinoma: JCOG trial (JCOG 9906). Int J Radiat Oncol Biol Phys. 2011;81(3):684\u201390.","journal-title":"Int J Radiat Oncol Biol Phys"},{"issue":"5","key":"862_CR6","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1097\/RTI.0b013e3182776df7","volume":"28","author":"DM Ganeshan","year":"2013","unstructured":"Ganeshan DM, Bhosale P, Munden RF, Hofstetter WL, Correa AM, Iyer R. Diaphragmatic hernia after esophagectomy for esophageal malignancy. J Thorac Imaging. 2013;28(5):308\u201314.","journal-title":"J Thorac Imaging"},{"key":"862_CR7","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1007\/s10388-010-0244-6","volume":"7","author":"H Daiko","year":"2010","unstructured":"Daiko H, Nishimura M, Hayashi R. Diaphragmatic herniation after esophagectomy for carcinoma of the esophagus: a report of two cases. Esphagus. 2010;7:169\u201372.","journal-title":"Esphagus."},{"key":"862_CR8","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1046\/j.1442-2050.2002.00233.x","volume":"15","author":"E Hamaloglu","year":"2002","unstructured":"Hamaloglu E, Topaloglu S, T\u00f6rer N. Diaphragmatic herniation after transhiatal esophagectomy. Dis Esophagus. 2002;15:186\u20138.","journal-title":"Dis Esophagus"},{"issue":"6","key":"862_CR9","first-page":"1104","volume":"55","author":"L Gust","year":"2019","unstructured":"Gust L, Nafteux P, Allemann P, Tuech JJ, El Nakadi I, Collet D, Coere D, Fabre JM, Meunier B, Dumont F, Poncet G, Passot G, Carrere N, Mathonnet M, Lebreton G, Theraux J, Marchal F, Barabino G, Thomas PA, Piessen S, D\u2019Journo XB. Hiatal hernia after oesophagectomy: a large. European survey. 2019;55(6):1104\u201312.","journal-title":"European survey"},{"issue":"1","key":"862_CR10","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1111\/j.1442-2050.2006.00536.x","volume":"19","author":"U Fumagalli","year":"2006","unstructured":"Fumagalli U, Rosati R, Caputo M, Bona S, Zago M, Lutmann F, Peracchia A. Diaphragmatic acute massive herniation after laparoscopic gastroplasty for esophagectomy. Dis Esophagus. 2006;19(1):40\u20133.","journal-title":"Dis Esophagus"},{"issue":"8","key":"862_CR11","doi-asserted-by":"publisher","first-page":"1986","DOI":"10.1007\/s00268-015-3100-y","volume":"39","author":"KW Maas","year":"2015","unstructured":"Maas KW, Cuesta MA, van Berge Henegouwen MI, Roig J, Bonavina L, Rosman C, Gisbertz SS, Biere SS, van der Peet DL. Quality of life and late complications after minimally invasive compared to open esophagectomy: results of a randomized trial. World J Surg. 2015;39(8):1986\u201393.","journal-title":"World J Surg"},{"issue":"8","key":"862_CR12","doi-asserted-by":"publisher","first-page":"2690","DOI":"10.1245\/s10434-016-5155-x","volume":"23","author":"JE Oor","year":"2016","unstructured":"Oor JE, Wiezer MJ, Hazebroek EJ. Hiatal hernia after open versus minimally invasive esophagectomy: a systematic review and meta-analysis. Ann Surg Oncol. 2016;23(8):2690\u20138.","journal-title":"Ann Surg Oncol"},{"issue":"1","key":"862_CR13","first-page":"57","volume":"22","author":"PP Chui","year":"1993","unstructured":"Chui PP, Tan CT. Sudden death due to incarcerated Bochdalek hernia in an adult. Ann Acad Med Singap. 1993;22(1):57\u201360.","journal-title":"Ann Acad Med Singap"},{"issue":"2","key":"862_CR14","doi-asserted-by":"publisher","first-page":"93","DOI":"10.3121\/cmr.2016.1332","volume":"14","author":"W Krause","year":"2016","unstructured":"Krause W, Roberts J, Garcia-Montilla RJ. Bowel in chest: type IV hiatal hernia. Clin Med Res. 2016;14(2):93\u20136.","journal-title":"Clin Med Res"},{"issue":"1","key":"862_CR15","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1007\/s005950300002","volume":"33","author":"H Shinkawa","year":"2003","unstructured":"Shinkawa H, Yasuhara H, Naka S, Yanagie H, Nojiri T, Furuya Y, Ariki K, Niwa H. Factors affecting the early mortality of patients with nontraumatic colorectal perforation. Surg Today. 2003;33(1):13\u20137.","journal-title":"Surg Today"},{"key":"862_CR16","doi-asserted-by":"publisher","first-page":"818","DOI":"10.1097\/00003246-198510000-00009","volume":"13","author":"WA Knaus","year":"1985","unstructured":"Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE-II: a severity of disease classification system. Crit Care Med. 1985;13:818\u201329.","journal-title":"Crit Care Med"},{"issue":"1","key":"862_CR17","first-page":"4","volume":"21","author":"SA Naved","year":"2011","unstructured":"Naved SA, Siddiqui S, Khan FH. APACHE-II score correlation with mortality and length of stay in an intensive care unit. J Coll Physicians Surg Pak. 2011;21(1):4\u20138.","journal-title":"J Coll Physicians Surg Pak"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-020-00862-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-020-00862-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-020-00862-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T23:25:55Z","timestamp":1621898755000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-020-00862-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,25]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["862"],"URL":"https:\/\/doi.org\/10.1186\/s40792-020-00862-5","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,25]]},"assertion":[{"value":"12 January 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 May 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 May 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Consent has been obtained in Japanese from the patient to publish clinical data and imaging for the purposes of this case report.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"114"}}