Presentation
Abdominal pain.
Patient Data
Gender: Female
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A large hiatus hernia is present, containing much of the stomach, without evidence of obstruction or volvulus. In addition an anterior diaphragmatic hernia (Morgagni hernia) is present containing fat and a small amount of fluid.
Case Discussion
Hiatal hernias are common, and usually asymptomatic although they are prone to cause symptoms of reflux. When large one must examine their morphology carefully to ensure no mass is present and that there is no obstruction / volvulus.
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