Hiatus hernia - stage IV

Case contributed by Dr Ishaan

Presentation

Shortness of breath and lower limb swelling.

Patient Data

Age: 90 years
Gender: Female
CT

CT Pulmonary angiogram

There is a large stage IV hiatus hernia containing stomach, small and large bowel loops, the tail of the pancreas and intra-abdominal fat

Case Discussion

As a pulmonary embolism was the primary differential in this patient, a CTPA was performed. There was complete opacification of the pulmonary vessels with no filling defect and a pulmonary embolism was ruled out. Incidental thoracic crush fractures were also noted.

Her symptoms were attributed to her large hiatus hernia.

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Case information

rID: 70349
Published: 15th Aug 2019
Last edited: 16th Aug 2019
Inclusion in quiz mode: Included
Institution: Westmead Hospital

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