Hiatus hernia with organo-axial volvulus of stomach

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Dysphagia.

Patient Data

Age: 85 years
Gender: Female

The chest x-ray shows a retrocardiac opacity with no visualization of the gastric air-bubble under the left hemidiaphragm.

The selected images from the barium meal reveal an intrathoracic displacement of the stomach including the gastric fundus and gastro-esophageal junction through a large esophageal hiatus with oregano-axial volvulus of the stomach and prominent tertiary waves of the lower esophagus.

Case Discussion

Radiological features of a mixed hiatus hernia type 3 with organo-axial gastric volvulus.

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