Paraesophageal hernia and intrathoracic diverticulitis.

Paraesophageal hernia is a potentially lethal condition that has not been previously discussed in the family medicine literature. It accounts for 3.5% to 5 % 1 of all hiatal hernias. Diagnosis of paraesophageal hernia can be difficult. Patients are usually elderly and have symptoms of esophageal reflux or postprandial pain, bloating, and vomiting. The patient might have a history of hiatal hernia. We report here a case of paraesophageal hernia, complicated by herniation of colon into the thorax, with intrathoracic diverticulosis, probable diverticulitis, and myocardial infarction. Family physicians should be aware of the symptoms of paraesophageal hernia so they can promptly diagnose and manage this potentially lethal condition.