Sliding hiatus hernia

Case contributed by Mohamed Salah Ayyad
Diagnosis almost certain


Post-prandial fullness.

Patient Data

Age: 55 years
Gender: Female

A contrast-filled herniated part of the stomach is seen above the shadow of the diaphragmatic copula. The gastro-esophageal junction is seen above the level of the diaphragm.

Case Discussion

A hiatus hernia is when part of the stomach or other organ herniates through the diaphragmatic hiatus. There are four types of hiatus hernia:

  • Type I (Sliding hiatus hernia): The gastro-esophageal junction is displaced above the esophageal opening of the diaphragm.

  • Type II (Para-esophageal hiatus hernia): The gastro-esophageal junction remains below the diaphragmatic copula and a part of the stomach herniates parallel to the esophagus.

  • Type III: Both sliding and para-esophageal hernia.

  • Type IV: The stomach and another organ herniate into the thorax.

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