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Compare
the pathological image-left and the physiological image-right
(blinded)
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F:
Recognize the round
space filled with gas and fluid (air-fluid
interface) in the inferior part of the patients posterior mediastinum
H:
Adult man, 57-years-old,
obesity and a history of heartburn The patient states that he often brought
up small amounts (regurgitation) of sour or bitter-tasting substances (gastric
reflux).
INFO/WWW:
There are two main typs of hiatus
hernia: Sliding hiatus
hernia (more than 80%): The gastroesophageal region slides superior into
the chest through the esophageal hiatus when the patient lies down or bends
over. Paraesophageal hiatus
hernia: The gastroesophageal region remains in its normal position, but
parts of the stomach and peritoneum slip through the esophageal hiatus. Some
hernias present features of both types and are referred to as mixed hiatus
hernias.
D:
Sliding hiatus hernia
with regurgitation and gastric reflux
IN
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