Sliding hiatus hernia

Case contributed by Mahmoud Nady Hassan Mostafa
Diagnosis certain

Presentation

Shortness of breath and heartburn

Patient Data

Age: 55 years
Gender: Male

Chest

x-ray

Retrocardiac round opacity.

Chest

ct

Herniation of the gastric fundus through abnormally widened oesophagal hiatus into the retrocardiac space.

Left apical fibrotic band.

Case Discussion

Hiatus hernia is a common incidental finding in chest radiography.

Sliding hiatus hernia is the most common type of hiatus hernia (~90%) through an abnormally widened oesophagal hiatus.

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