Sliding hiatus hernia
Acute epigastric pain and vomiting, especially following large meals. White blood cells, inflammatory markers and serum lipase where normal.
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Widened esophageal hiatus is seen with dilated distal esophagus containing gastric contents
In this case, the hiatus hernia was the cause of the patient's abdominal pain and vomiting on a background of reflux and vomiting following large meals.