04 February 2026
: Case report 
Large Hiatal Hernia in a Patient With Bulimia Nervosa and Obesity: An Interdisciplinary Case Report
Unusual clinical course, Challenging differential diagnosis
Oktyabr R. Teshaev A 1, Akhmadjon B. Babajonov
AEG 1*, Ilkhom B. Khayitov DF 1, Diana I. Yugay BC 1
DOI: 10.12659/AJCR.951261
Am J Case Rep 2026; 27:e951261
Figure 1 Intraoperative diagnosis and creation of surgical access. Intraoperative findings during laparoscopic hiatal hernia repair. (A) The type of hiatus hernia was defined before dissection. Large mixed hiatal hernia type III with hernial orifice measuring 5.0 cm (measured with sterile ruler). (B) The dissection was done circumferentially. View of the esophageal hiatus after circumferential dissection of the esophagus from surrounding tissues.