Pancreas in hiatus hernia

Case contributed by Dr Craig Hacking

Presentation

Infective exacerbation of asthma. Failed antibiotic treatment with representation. Febrile, shortness of breath, dry cough.

Patient Data

Age: 75 years
Gender: Female
CT

Images through the lung bases in particular are significantly motion artifact impaired.

Large hiatus hernia with the stomach located within the left thorax. The pancreas also is displaced superiorly towards but not into the chest. Minor adjacent atelectasis. Moderate left pleural effusion. Within the limits of this study, the lungs are clear.

Pericardial effusion measures up to 5mm in depth.

No lymph node enlargement.

Cholecystectomy clips.

No suspicious bony abnormality identified.

Conclusion:

  • Images through the lung bases are significantly motion artefact impaired. Within these limits, no gross consolidation or pulmonary abnormality.
  • Pericardial effusion and left pleural effusion.
  • Large hiatus hernia.

Case Discussion

If the hiatus hernia is large enough, many other abdominal organs can become displaced.

PlayAdd to Share

Case information

rID: 35700
Case created: 17th Apr 2015
Last edited: 14th Sep 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.