Hiatus hernia (para-esophageal hernia) on chest X-ray

Case contributed by Dr Marcin Czarniecki


70 year old female had a routine chest x-ray performed prior to a planned cholectystectomy

Patient Data

Age: 70
Gender: Female

Mediastinum enlarged with a para-cardiac lucency indicative of air. The findings are in keeping with a hiatus (paraesophageal) hernia.

Case Discussion

Many patients that are diagnosed in the imaging department are asymptomatic. Hiatus hernias occur in two subtypes - rolling and sliding, with the latter being much more common.

The finding must be differentiated from an retrocardiac abscess, empyema and an epiphrenic diverticulum.

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Case information

rID: 40827
Published: 4th Nov 2015
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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