Mixed-type hiatal hernia also containing colon

Case contributed by Dr Ismail Kabakus


Gastric fullness, heartburn, halitosis (bad breath).

Patient Data

Age: 70
Gender: Female

CT scan shows displaced gastroesophageal junction, herniation of stomach into the thorax through the hiatus with additional herniation of transverse colon (Type 4, mixed or compound hiatal hernia)

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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Case information

rID: 59703
Published: 22nd Apr 2018
Last edited: 5th Sep 2020
Inclusion in quiz mode: Included
Institution: Cagsu Private Hospital

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