X hits on this document

PDF document

Hiatal Hernia with Complications - page 36 / 41

96 views

0 shares

0 downloads

0 comments

36 / 41

Now let’s answer some questions about our patient’s hiatal hernia

1. Is it a type I or a type II-IV?

Type II-IV (specifically II and IV), since we see that the GEJ remains intra-abdominal while both the stomach and another portion of bowel have herniated

2. Is there rotation or other signs of gastric volvulus?

Yes. There is inversion of the greater and lesser curvature along the axis of the stomach, making this an organoaxial rotation. However, there is also free passage of barium and the stomach is not overly distended, indicating that no obstruction currently exists.

Document info
Document views96
Page views96
Page last viewedFri Dec 09 03:04:00 UTC 2016
Pages41
Paragraphs355
Words1889

Comments