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Abstract

ABSTRACT: BACKGROUND: Congenital right sided intra-thoracic hiatal hernia is an uncommon clinical entity consisting of herniation of a viscous through congenitally abnormal esophageal hiatus into an intra-thoracic location . AIM OF THE STUDY : Is to present the diagnostic challenge and the surgical management of eight cases of this uncommon congenital anomaly admitted during asix years period (2000 – 2005 ) to the medical city teaching complex in Baghdad . Iraq and to compare the study with other international studies. METHODS : Eight patients were studied retrospectively in details as regard the age , sex , clinical manifestations , radiological findings . Details of the operative findings and the surgical outcome . RESULTS : All the patients had right sided intra-thoracic abdominal organ herniation mostly the stomach , all the patients ahad large hiatus , the patients were managed successfully through laparatomy with uneventful postoperative course . CONCLUSION: This uncommon variety of the congenital hiatal hernia presented a diagnostic challenge to the pediatrician , pediatric surgeon and the thoracic surgeon .Laparatomy was the procedure of choice and adding an anti –reflux procedure is highly indicated

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