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Hiatal Hernia with Complications - page 37 / 41

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Patient report

  • DB was thought to have a Type II & IV hiatal hernia, complicated by organoaxial rotation.

  • These findings corroborate her clinical presentation of retrosternal fullness, vomiting and pain.

  • However, the easy passage of an NG tube, nondistended stomach, visualization of contrast in the small bowel, and no rebound tenderness on physical exam suggest that she does not yet have strangulation of the stomach

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