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