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A Journal on Surgery

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Chirurgia 2005 October;18(5):415-8

language: English

A gastric hiatal hernia may make abdominal pain disappear

Pomerri F., Bilora F., Muzzio P. C


Recurrent abdominal pain developed in a 74-year-old woman that chronically suffered from retrosternal pain and regurgitation. Unexpectedly, the patient reported that abdominal pain disappeared after meals. An erect abdominal plain film was done when the patient had abdominal pain and showed a fluid level in the ascending colon and an enlargement of the posterior lower mediastinum containing gas on the right side. Double contrast enema and contemporaneous barium swallow showed herniation of the left colonic flexure into the left lower mediastinum and a gastric hernia within the right lower mediastinum, respectively. The hernias were in the same site of the enlargement of the mediastinum seen on the plain abdominal film. The colonic hernia partially reduced when the gastric hernia was filled with barium. We postulate that these findings could explain the disappearance of the colic obstruction and abdominal pain after meals.

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