Presentation
Post prandial fullness. Abnormal chest radiograph. Had cholecystectomy 20 years ago. No history of trauma.
Patient Data
Age: 75 years
Gender: Female
From the case:
Para-esophageal hiatal hernia
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There is a large hiatal hernia with intrathoracic displacement of stomach, gastro-esophageal junction(GEJ), left colonic flexure as well as the corporeocaudal segment of the pancreas.
Bilateral parapelvic renal cysts.
Case Discussion
Features of a para-oeophageal hernia (type 4).
Type 4 hiatal hernia is characterized by an intrathoracic herniation of the stomach (which is usually abnormally rotated) along with other organs (colon, pancreas, spleen, and small bowel).
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