Recurrence after composite repair of a giant hiatus hernia: 'The golf club' deformity is a distinctive clinical and radiological picture

Background: Recurrence of a hiatus hernia after cardiopexy repair can obstruct the lower oesophagus but also provide characteristic radiographic images after a barium meal. Case history: Two patients with recurrence of a hiatus hernia underwent repeat surgery. Here, we provide and discuss diagnostic imaging, surgical findings and outcome for these male and female patients. Conclusions: Repeat surgery is indicated in patients with recurrence of a hiatus hernia after repair.