Hiatus hernia

Case contributed by Mostafa Elfeky
Diagnosis probable

Presentation

Dyspnea

Patient Data

Age: 70 years
Gender: Female

Chest

x-ray

Broadening of the mediastinum with an air-fluid level projecting over the left side of the cardiac shadow and absent abdominal gastric air bubble. 

Bilateral scattered pulmonary opacities on both lungs. 

Case Discussion

Hiatus hernias occur when there is herniation of the stomach through the esophageal hiatus of the diaphragm into the thoracic cavity.

Differential diagnosis includes retrocardiac abscessempyema and an epiphrenic diverticulum.

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