Hiatus hernia

Case contributed by Dr Varun Babu

Presentation

Echo done showed dilated thoracic aorta. CT chest was asked to rule out thoracic aortic aneurysm

Patient Data

Age: 70
Gender: Female
X-ray

Plain radiograph

Retrocardiac dense shadow with air fluid level. Both lower zones show increased reticular pattern with preserved costophrenic angles. Left diaphragmatic hump present. 

CT

CT Aortogram

A sliding hiatus hernia is seen with widened esophageal opening, cranial migration of gastroesophageal junction into thorax with areas of celiac axis, pancreas and abdominal fat herniating up. No features of gastric volvulus. 

Case Discussion

This study highlights the importance of evaluating the hidden areas of chest. 

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Case information

rID: 41798
Case created: 20th Dec 2015
Last edited: 22nd Dec 2015
Inclusion in quiz mode: Included

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