Abstract
Hiatal hernia reportedly occurs in about one in 1,000 infants.1 Failure of fusion of the dorsal mesentery and the developing stomach probably accounts for the widened esophageal hiatus. A continuum then exists that ranges from a small loculus of gastric mucosa in the chest (partial thoracic stomach) to a complete herniation of the stomach into the thoracic cavity. This abnormality has rarely been reported in infancy and, almost always, the hernia has been reported in the left thoracic cavity.2-4 A familial occurrence in infants in successive generations has never been previously reported. CASE REPORTS K.C., a 2-month-old white boy, was admitted to the Marshfield Medical Center because of a progressive increase in postprandial vomiting.
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