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SAS Journal of Surgery | Volume-12 | Issue-03
A Diagnostic Challenge in a Patient with Persistent Vomiting: Hiatal Hernia Associated with an Atypical Interhepato-Diaphragmatic Hernia
Merghad Hatim, Ouzzaouit Hamza, Abouker Ibrahim, Brahmi Oussama, Messari Loubna, Mssrouri Rahal, Benamr Said, Medaghri Jalil, Hamid Mohamed, Laalou Talha
Published: March 18, 2026 | 26 24
DOI: https://doi.org/10.36347/sasjs.2026.v12i03.008
Pages: 215-219
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Abstract
This is the case of a 32-year-old man with a congenital spinal kyphoscoliosis, admitted to the hospital for persistent vomiting without an underlying cause. Imaging and endoscopic explorations couldn’t decide a clear diagnosis, and laparoscopic surgery confirmed the diagnosis of an atypical interhepato-diaphragmatic hernia associated with a hiatal hernia. This highlights the importance of clinical examination, the good hierarchical paraclinical explorations, and the importance of knowing when to and not to operate. And the importance of multimodal assessment.