Presentation on theme: "Hiatal Hernia Radiology case presentation 8/17/07."— Presentation transcript:
Hiatal Hernia Radiology case presentation 8/17/07
Patient background 63 year old female HPI: Recent months complaining of symptoms of dysphagia especially solids(bread). Pain in the epigastric region in supine and aggravated with the valsalva.
PMH Hiatal hernia Type III Abnormal esophageal Motility and LES mamometry. Recurrent Pneumonia and SOB Collis Nissen repair in 2004.
Differential diagnosis Achalasia Chaga’s dz: Trypanosomiasis Scleroderma: fribrotissue replacement of muscle Phrenic ampulla ( corresponds to the location of LES Epiphrenic diverticulum Post surgical change
Ba pill Ba pill versus solution - picture demonstrates solid dysphagia Wrap
Patient’s hospital course Patient seen as outpatient and to be evaluated with EDG before final decision to be made.
Reference Mettler, F. (2005). Essentials of Radiology 2nd ed. USA: Saunders. Retrieved July 31 2007 from Mdconsult online electronic medical library: http://www.mdconsult.com http://www.mdconsult.com