# A Rare Case of Omental Strangulation Through the Esophageal Hiatus Successfully Repaired Through a Robotic-Assisted Approach

## TL;DR

A 65-year-old man with a rare hernia in the esophageal hiatus was successfully treated using a robotic-assisted surgical approach.

## Contribution

This case report presents a novel robotic-assisted repair of a rare omental strangulation through the esophageal hiatus.

## Key findings

- A retrocardiac lipomatous mass was identified via non-contrast CT.
- Intraoperative findings confirmed strangulated omentum herniating into the esophageal hiatus.
- The hiatal hernia was successfully repaired using a robotic-assisted laparoscopic approach.

## Abstract

A 65-year-old male presented to the emergency department complaining of 48 hours of severe epigastric pain and guarding on physical exam. A non-contrast CT revealed a retrocardiac lipomatous mass. Chest MRI revealed an intrathoracic omental hernia through the esophageal hiatus. Intraoperatively, strangulated omentum was seen; specifically, the greater omentum herniated through the defect into the esophageal hiatus. The hiatal hernia was then successfully repaired via a robotically assisted, laparoscopic approach, and an omentectomy was performed.