Acute abdomen along with hiatus hernia

Case contributed by Hadzi Dragan Ilic
Diagnosis certain

Presentation

Suden severe abdomenal pain

Patient Data

Age: 50 years
Gender: Male

Abdomen x-rays

x-ray

Hiatus hernia with free gas surrounding it.

Case Discussion

Main finding on x-rays is hiatus hernia, with a solid part of stomach, as its content. The transparency surrounding the stomach indicates the existence of pneumoperitoneum, which was confirmed on a CT scan.

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