Home | Volume 24 | Article number 40

Original article

Hiatal hernia

Hiatal hernia

Ebaa Samkari1,&, Meshari Alshalawi1

 

1Umm Al Qura University, Makkah, Saudi Arabia

 

 

&Corresponding author
Ebaa Samkari, Umm Al Qura University, Makkah, Saudi Arabia

 

 

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61 years old known case of bronchial asthma, chronic pancreatitis, presented with postprandial epigastric campy abdominal pain and vomiting for one month no history of trauma. Initial evaluation revealed paraesophageal hernia. EGD finding is grade II esophagitis with nodular mucosa and superficial ulceration, Distal part of the funds, body and the Antrum were rolled back into thoracic cavity. Abdominal computed tomography (CT) showed undulating diaphragm and large complex hiatal hernia. The cardia is above the diaphragm. The entire stomach is in the chest, paraesophageal, right and left to esophagus. The patient is symptomatic and surgery done for him.

 

 

Figure 1: abdominal computed tomography