Abstract
Giant hiatal hernias with massive displacement of abdominal organs into the thoracic cage are known as non-typical hiatal hernias. They can occur with few clinical symptoms across many years, which often makes the diagnosis difficult. The method of choice for diagnosis is computer tomography.
We present 4 cases of a giant hiatal hernia. Three out of 4 patients have been operated on because of an obstruction in the upper digestive system, whereas 1 had elective surgery. In all cases, we performed a fundoplication with good results and no mortality.