Presentation
Post-prandial fullness.
Patient Data
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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