Hiatus hernia

Case contributed by Keshaw Kumar
Diagnosis certain

Presentation

Epigastric discomfort

Patient Data

Age: 65 years
Gender: Female

Chest X-ray

x-ray

Air-fluid level in the retrocardiac region.

Bilateral lung fields appear normal.

NCCT Chest

ct

There is herniation of fundus and proximal body of the stomach into the posterior mediastinum through dilated oesophageal hiatus. The gastrooesophageal junction is also mildly displaced superiorly.

Case Discussion

Findings are suggestive of type-III hiatus hernia.

Co-author: Dr. Tanu

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