1Thoracic Surgeon, 5-Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran
2General Surgeon,5Azar Hospital,Golestan University of Medical Science,Gorgan,Iran.
3Resident of General Surgery, 5Azar Hospital,Golestan University of Medical Science,Gorgan,Iran.
In this case report, we described a 74-year-old female patient with major complaint of respiratory problemsdyspnea after meal. Chest X-ray of the patient revealed a gianttype IV hiatal hernia. Preoperative evaluations of the patient included esophagoscopy, esophageal manometry, barium swallow, and CT-scan. Repair of the hernia was performed using a dual mesh on the diaphragm and partial anterior fundoplication (Dor fundoplication). After a six-month follow-up, the overall condition of the patient is satisfactory, exceptmild intermittent dysphagia due to esophageal dysmotility.