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Echocardiographic manifestation of hiatus hernia simulating a left atrial mass: case report.
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ABSTRACT: Background
Despite the high prevalence of hiatus hernia, a relatively small number of echocardiographically manifested cases have been reported.Case presentation
An 82-year old woman presented with acute retrosternal pain indicative of cardiac etiology. Physical examination and biochemical tests, as well as 12-lead electrocardiogram, were normal. A two-dimensional transthoracic echocardiogram was performed and revealed a structure that was considered to represent a left atrial mass. A subsequent computed tomography scan visualized a hiatus hernia in the posterior mediastinum, impinging on the posterior left atrial wall. The intrathoracic displacement of a large part of the stomach was further confirmed by an upper gastrointestinal barium examination.Conclusion
Hiatus hernia can present as acute chest pain, while its echocardiographic manifestation may resemble a left atrial space-occupying structure. Physicians should be aware of the clinical and sonographic findings to facilitate the differential diagnosis from similarly presenting cardiac entities.
SUBMITTER: Koskinas KC
PROVIDER: S-EPMC2553061 | biostudies-literature | 2008 Sep
REPOSITORIES: biostudies-literature
Publications
Echocardiographic manifestation of hiatus hernia simulating a left atrial mass: case report.
Cardiovascular ultrasound 20080915
<h4>Background</h4>Despite the high prevalence of hiatus hernia, a relatively small number of echocardiographically manifested cases have been reported.<h4>Case presentation</h4>An 82-year old woman presented with acute retrosternal pain indicative of cardiac etiology. Physical examination and biochemical tests, as well as 12-lead electrocardiogram, were normal. A two-dimensional transthoracic echocardiogram was performed and revealed a structure that was considered to represent a left atrial ma ...[more]