Hiatus hernia

Case contributed by Dr Ke Chen

Presentation

Progressive dysphagia, heartburns and worsening nausea after meals

Patient Data

Age: 60 years
Gender: Female
X-ray

Retrocardiac opacity with displacement of the azygoesophageal line

Case Discussion

A common cause for displacement of the azygoesophageal recess is a hiatus hernia.

This patient had a barium swallow that showed a 8.5 cm diameter sliding hiatus hernia with a 4.6 cm widening of the lower esophagus, along with spontaneous gastroesophageal reflux and signs of esophagitis.

She was treated by Nissen's fundoplication after conservative treatment failed.

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Case information

rID: 74524
Published: 25th Feb 2020
Last edited: 27th Feb 2020
Inclusion in quiz mode: Included

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