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Paraesophageal hiatus hernia

Case contributed by Farzad Pirzad
Diagnosis certain

Presentation

Postprandial chest pain and epigastric pain.

Patient Data

Age: 65
Gender: Female
x-ray

Large mediastinal mass. 

Fluoroscopy
  • the entire stomach has herniated into the lower chest leading to an "upside-down stomach"
  • stomach is not obstructed

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