Early axial sliding hiatus hernia on oesophagogram

Case contributed by Dr Mohamed Hossam el Deen


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
  • 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.


PlayAdd to Share

Case information

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

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.