Hiatus hernia

Case contributed by Dr Mohammad Osama Yonso

Presentation

Cough, gastric reflux.

Patient Data

Age: 55 years
Gender: Female
X-ray

Air-fluid level overlapping the heart shadow and absence of gastric air sinus consistent with a hiatus hernia.

Case Discussion

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

Differential diagnosis:

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

rID: 21408
Published: 20th Jan 2013
Last edited: 25th May 2020
System: Chest
Tag: cxr
Inclusion in quiz mode: Included

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