MedPix® Patient Chart - Case No: 10247 :: Imaging - Review Images

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History

Age: 37 :: Gender: woman

Patient History

Thirty seven-year-old female smoker with difficulty swallowing solid foods.

Exam


Physical Exam and Laboratory

Afebrile. No palpable neck mass or thyromegaly.


Imaging

Imaging - Review Images for PT: 10247

Findings


Summary of Findings

Fluoroscopic images of the distal esophagus demonstrate barium-coated gastric folds within a portion of the stomach located above the diaphragm and contiguous with the esophagus. The gastroesophageal junction lies more than 2 cm above the diaphragm. The gastric fundus is positioned normally below the diaphragm. No esophageal strictures were identified.


Imaging

Imaging - Review Images for PT: 10247

Diffferential


Differential Diagnosis

Axial (sliding) hiatal hernia


Imaging

Imaging - Review Images for PT: 10247

Diagnosis


Diagnosis

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Treatment


Treatment and Followup

Treatment not available without Diagnosis

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Discussion

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Topic

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Case Contributor and Editor
Topic Author(s): Feldman: Sleisenger & Fordtran's Gastrointestinal and Liver Disease, 7th ed., Copyright © 2002 Elsevier: MD Consult Online Core Collection Textbook: pp 369-374
Submitted by: Mark M Morton - Author Info
Case/Image Editor: Martin N Scott - Editor Info
Case Accepted: 2006-11-13 15:11:41-05 :: Revised: :: Submitted:
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