CASE 761: GASTRIC SLIDING HERNIA, Dr PHAN THANH HẢI, Dr VÕ NGUYỄN THÀNH NHÂN, MEDIC MEDICAL CENTER, Dr NGUYỄN PHÚ HỮU ( BÌNH DÂN HOSPITAL), Dr NINH NGUYEN (USA), HCMC, VIETNAM.

 

A 71 year-old woman with cardiovascular disorders: extrasystolic, ischemic heart, aortic valve regurgitation.

Lab data: Troponin T elevated.

MSCT for 30% coronary  branches obstruction but incidentally detected gastric sliding hernia through esophageal split of the diaphragm.

Chest X-ray and barium esophage: diaphragmatic hernia.

Endoscopy confirmed  diaphragmatic sliding hernia of the stomach.

Normal Respiratory function.

Operation for gastric hernia was done and the woman remains well. 

Barium esophageal films confirmed the gastric sliding hernia being solved post-op.

Coronary symptoms may mimick gastric signs especially in women, and in this case, coronary MSCT could also detect a gastric sliding hernia beside  the 30% stenosis of branches of coronary arteries.