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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 larged mixed hiatal hernia, with a large paraesophageal componenent (arrows) and a small sliding component (arrowhead.)An organoaxial gastric volvulus is  also present as the stomach has rotated on the axis extending from the esophagus to the pylorus.  The greater curvature now lies superior to the lesser curvature. Note that the 1st portion of the duodenum (line labeled "1") is stretched as it is pulled towards the chest.
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MPX1041_synpic19290: There is a larged mixed hiatal hernia, with a large paraesophageal componenent (arrows) and a small sliding component (arrowhead.)An organoaxial gastric volvulus is also present as the stomach has rotated on the axis extending from the esophagus to the pylorus. The greater curvature now lies superior to the lesser curvature. Note that the 1st portion of the duodenum (line labeled "1") is stretched as it is pulled towards the chest.


Hiatal hernia, organoaxial gastric volvulus

Sutcliffe JBS - MedPix

There is a larged mixed hiatal hernia, with a large paraesophageal componenent (arrows) and a small sliding component (arrowhead.)An organoaxial gastric volvulus is  also present as the stomach has rotated on the axis extending from the esophagus to the pylorus.  The greater curvature now lies superior to the lesser curvature. Note that the 1st portion of the duodenum (line labeled "1") is stretched as it is pulled towards the chest.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX1041_synpic19290: There is a larged mixed hiatal hernia, with a large paraesophageal componenent (arrows) and a small sliding component (arrowhead.)An organoaxial gastric volvulus is also present as the stomach has rotated on the axis extending from the esophagus to the pylorus. The greater curvature now lies superior to the lesser curvature. Note that the 1st portion of the duodenum (line labeled "1") is stretched as it is pulled towards the 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.