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Mixed-type hiatal hernia

Case contributed by Dr Ismail Kabakus


Cough, dyspnea

Patient Data

Age: 85 years
Gender: Male

CT scan shows herniation of stomach into the thorax through the hiatus with displacement of gastroesophageal junction.

Case Discussion

A hiatal hernia is herniation of the stomach into the thorax through the hiatus. Hiatal hernias are divided into four types:

  • type 1: sliding hiatal hernia (~95%)
  • type 2: paraesophageal hiatal hernia with the gastroesophageal junction in a normal position
  • type 3: mixed or compound type, paraesophageal hiatal hernia with displaced gastroesophageal junction
  • type 4: mixed or compound type hiatal hernia with additional herniation of viscera

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