A case of omental herniation through the esophageal hiatus successfully treated by laparoscopic surgery

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<jats:sec><jats:title>Case</jats:title><jats:p>We report a rare case of omental herniation through the esophageal hiatus. A 46‐year‐old man visited our emergency department complaining of epigastralgia. Abdominal examination revealed muscular defense and rebound tenderness in his upper abdomen. A computed tomography scan showed a fat density mass in the posterior mediastinum. A laparoscopic operation was carried out under the diagnosis of omental herniation through the esophageal hiatus.</jats:p></jats:sec><jats:sec><jats:title>Outcome</jats:title><jats:p>Abdominal pain disappeared dramatically after the operation. The postoperative course was uneventful.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Although a fat density mass in the posterior mediastinum is likely to be diagnosed as a lipomatous tumor, omental herniation through the esophageal hiatus should be taken into consideration as a possible diagnosis for acute abdominal pain in the emergency department.</jats:p></jats:sec>

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