Giant hiatal hernia


Symptoms of chronic esophageal reflux.

Patient Data

Age: 48
Gender: Male

Large mediastinal lucency with layering fluid. Minimal to absent gastric air bubble.

Mildly elevated left hemidiaphragm with likely small left-sided pleural effusion.

Case Discussion

With the large mediastinal lucency and minimal (or absent) gastric air bubble, a large paraesophageal hernia or a total intrathoracic stomach should be considered. A CT of the chest and abdomen or an upper GI fluoroscopic study would be useful for further evaluation.

Endoscopic examination was compatible with the radiographic findings.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.