Bowel in Chest Following Hiatal Hernia: A Rare Presentation

Organ displacement severity across the esophageal hiatus determines how severe a hiatal hernia is. Rare Type IV paraesophageal hernias entail the protrusion of additional abdominal organs in addition to the stomach. We discuss the case of a 13-year-old boy who experienced intestinal obstruction and had a recurring hiatal hernia. A paraesophageal hiatal hernia with colonic and small bowel herniation was identified through clinical examination and imaging. Surgery was used to strengthen the anti-reflux system, reduce the hernia contents, and fix the hernia defect. The patient’s postoperative course was successful. This instance emphasizes the significance of quick paraesophageal hernia diagnosis and care to avoid consequences. An early surgical intervention can enhance results and reduce possibly fatal consequences.