Question 1772
{"accessible":true,"alternatives":[{"id":8801,"text":"mixed type, para-oesophageal hiatal hernia with displaced gastro-oesophageal junction and organo-axial volvulus of stomach"},{"id":8802,"text":"para-oesophageal hiatal hernia with normal position of the gastro-oesophageal junction"},{"id":8803,"text":"para-oesophageal hiatal hernia with normal position of the gastro-oesophageal junction and organo-axial volvulus of stomach"},{"id":8804,"text":"sliding hiatal hernia with mesentero-axial volvulus of stomach"}],"archived":false,"correctAlternativeId":8801,"explanation":"\u003cp\u003eThere is\u0026nbsp;an intrathoracic displacement of the stomach including the gastric fundus and gastro-oesophageal junction through a large\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/oesophageal-hiatus?lang=gb\"\u003eoesophageal hiatus\u003c/a\u003e\u0026nbsp;with oregano-axial volvulus of the stomach and prominent tertiary waves of the lower oesophagus. These\u0026nbsp;features are most consistent with a mixed\u003ca href=\"https://radiopaedia.org/articles/hiatus-hernia?lang=gb\"\u003e\u0026nbsp;hiatus hernia\u003c/a\u003e\u0026nbsp;type 3 with\u003ca href=\"https://radiopaedia.org/articles/gastric-volvulus?lang=gb\"\u003e\u0026nbsp;organo-axial gastric volvulus\u003c/a\u003e\u0026nbsp;(the stomach is rotated along its long axis or cardiopyloric line).\u003c/p\u003e","id":1772,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/266/hiatus-hernia-with-organo-axial-volvulus-of-stomach_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":82565},"imageAttributionCaseInfo":{"title":"Hiatus hernia with organo-axial volvulus of stomach","contributor_name":"Ammar Haouimi","contributor_param":"ammar-haouimi","case_rid":82565,"case_param":"hiatus-hernia-with-organo-axial-volvulus-of-stomach"},"firstQuestionPath":"/questions/1879","nextQuestionPath":null,"relatedArticles":[{"id":5639,"title":"Gastro-oesophageal junction","link":"/articles/gastro-oesophageal-junction?lang=gb"},{"id":5762,"title":"Oesophageal hiatus","link":"/articles/oesophageal-hiatus?lang=gb"},{"id":6170,"title":"Gastric volvulus","link":"/articles/gastric-volvulus?lang=gb"}],"alsoUsedIn":[],"stem":"\u003cp\u003eAn 85-year-old woman with a history of dysphagia. A barium meal was performed. What is the most likely diagnosis shown on this selected image?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1772"}],"attemptsPercentages":[{"alternativeId":"8804","percentage":23},{"alternativeId":"8802","percentage":10},{"alternativeId":"8801","percentage":54},{"alternativeId":"8803","percentage":13}],"promptToLogin":false,"questionManager":false,"articleId":"hiatus-hernia"}