hiatal hernia
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Introduction
Herniation of part of the stomach through the esophageal hiatus of the diaphragm.
Genetics
Clinical manifestations
- pain in the epigastric region or lower thorax
- worse when reclining
- relieved on standing
- pain may be retrosternal with radiation to the left arm mimicking angina pectoris
- hematemesis
- large herniations
- dullness on percussion in left lung base
- absent breath sounds in left lung base
- peristaltic sounds in left lung base
Radiology
- barium swallow demonstrates the stomach above the diaphragm
Complications
- incarceration of hiatal hernia
- nausea/vomiting changing to inability to vomit or retain oral intake
- no fever, leukocytosis
More general terms
References
- ↑ DeGowin & DeGowin's Diagnostic Examination, 6th edition, RL DeGowin (ed), McGraw Hill, NY 1994, pg 879
- ↑ National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Acid Reflux (GER & GERD) in Adults https://www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults