Early axial sliding hiatus hernia on oesophagogram

Case contributed by Dr Mohamed Hossam el Deen

Presentation

Epigastric pain and food stuck in his esophagus two weeks ago. He also lost 22 Ibs over last 6 years.

Patient Data

Age: 55
Gender: Male
Modality: Fluoroscopy
  • Esophagogram showing early axial sliding hiatus hernia with a gastric wall extension 24 mm above the gastric folds ( outlet ) reaching B ring level.
  • B ring diameter is measuring 2 cm excluding schatzki ring.

Case Discussion

Early detection of sliding hiatus hernia is one of main advantages of esophagogram. Trendelenburg position is important for early assessment of reflux and sliding hernia.

Presence of gastric wall above the diaphragm level and a distance of greater than 2 cm between gastric folds and B ring are suggestive findings of early hiatus hernia.

 

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Case Information

rID: 47593
Case created: 23rd Aug 2016
Last edited: 23rd Aug 2016
Inclusion in quiz mode: Included

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