Hiatus hernia

Case contributed by Dr M Osama Yonso

Presentation

Cough, gastric reflux.

Patient Data

Age: 55 years
Gender: Female
X-ray

Air-fluid level overlapping the heart shadow ,absence of gastric air sinus.

Case Discussion

A hiatus hernia occurs where there is herniation of stomach through the oesophageal hiatus of the diaphragm. It is sometimes wrongly considered synonymous with gastro-oesophageal reflux disease (GORD) despite poor correlation between the two.

Differential diagnosis:

  1. cavitary lung lesions
  2. loculated empyema
  3. hydropneumothorax
  4. esophageal obstruction
  5. mediastinal abscess
  6. hydropneumopericardium
  7. chest wall abscess
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Case information

rID: 21408
Case created: 20th Jan 2013
Last edited: 4th Dec 2015
System: Chest
Inclusion in quiz mode: Included

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