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Hiatal hernia, organoaxial gastric volvulus

Sutcliffe JBS - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Hiatal hernia, organoaxial gastric volvulus

History: Iron deficiency anemia of unknown cause and chest discomfort. Upper GI with small bowel follow through was requested to assist with determination of source of her anemia.

Findings: Image 1 is an AP chest which demonstrates a large well circumscribed retrocardiac density extending into the right inferior chest region. Image 2 is a double contrast upper GI radiograph demonstrating a large mixed hiatal hernia with a large paraesophageal component and a small sliding component. Organoaxial gastric volvulus is also present.

Ddx: Based on initial plain radiograph only: Hiatal hernia Pericardial cyst Bronchogenic cyst Aortic aneurysm or pseudoaneursym Loculated pleural effusion

Dxhow: Double contrast UGI/small bowel follow through

No MeSH data available.


There is a well circumscribed retrocardiac density extending laterally towards to inferior right chest.
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MPX1041_synpic19289: There is a well circumscribed retrocardiac density extending laterally towards to inferior right chest.


Hiatal hernia, organoaxial gastric volvulus

Sutcliffe JBS - MedPix

There is a well circumscribed retrocardiac density extending laterally towards to inferior right chest.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1041&req=5

MPX1041_synpic19289: There is a well circumscribed retrocardiac density extending laterally towards to inferior right chest.

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Hiatal hernia, organoaxial gastric volvulus

History: Iron deficiency anemia of unknown cause and chest discomfort. Upper GI with small bowel follow through was requested to assist with determination of source of her anemia.

Findings: Image 1 is an AP chest which demonstrates a large well circumscribed retrocardiac density extending into the right inferior chest region. Image 2 is a double contrast upper GI radiograph demonstrating a large mixed hiatal hernia with a large paraesophageal component and a small sliding component. Organoaxial gastric volvulus is also present.

Ddx: Based on initial plain radiograph only: Hiatal hernia Pericardial cyst Bronchogenic cyst Aortic aneurysm or pseudoaneursym Loculated pleural effusion

Dxhow: Double contrast UGI/small bowel follow through

No MeSH data available.