Turner syndrome is a sex-chromosome disorder occurring in one out of 2500 female births and characterized by growth retardation, gonadal dysgenesis and cardiovascular anomalies. The 45, XO karyotype is the most frequent type of this disease. Herein, we report on a 6-year-old girl with Turner syndrome and 45, XO karyotype presenting with short stature. She had dextrocardia and hiatal hernia. To ...

Mixed (type III) hiatal hernias – with sliding and paraesophageal components – are uncommon, accounting for 10-15% of all hiatal hernias. Symptoms are that of gastroesophageal reflux disease. The paraesophageal hernia may get incarcerated and present as an emergency. We present a 50-year old patient with symptoms of severe reflux disease who was diagnosed with type III hiatus hernia. Laparoscop...

CONTEXT Hiatal hernia is an infrequent but serious cause of dyspnea. We report a case of acute dyspnea and paroxysmal nocturnal dyspnea secondary to hiatal hernia and epicardial fat pad. CASE REPORT A 78-year-old woman presented with dyspnea and paroxysmal nocturnal dyspnea. Lab data and physical examination were normal. Computed tomography scan demonstrated a large hiatal hernia and epicardi...

in this case report, we described a 74-year-old female patient with major complaint of respiratory problemsdyspnea after meal. chest x-ray of the patient revealed a  gianttype iv hiatal hernia. preoperative evaluations of the patient included esophagoscopy, esophageal manometry, barium swallow, and ct-scan. repair of the hernia was performed using a dual mesh on the diaphragm and partial anteri...

An 82-year-old man visited our outpatient department due to fever and cough for 5 days. He denied significant epigastralgic pain or heart burn in the past. The physical examination was unremarkable and the laboratory data were within normal limits. Chest radiograph (CXR) showed opacity with an air–fluid level in the right lower hemithorax behind the right heart and obscuring the right hemidiaph...

Hiatal hernia and Morgagni hernia are sorts of diaphragmatic hernias that are rarely detected on transthoracic echocardiography. Although echocardiographic findings have an important role for differential diagnosis of cardiac masses, we often might overlook diaphragmatic hernia. We report three cases of diaphragmatic hernias having specific features. The first case is huge hiatal hernia that en...

HYPOTHESIS Laparoscopic repair of large hiatal hernia is an appropriate management strategy. DESIGN A prospective patient series. SETTING A university teaching hospital. PATIENTS All patients with hiatal hernias 10 cm or greater in diameter repaired laparoscopically between February 1, 1992, and September 30, 1998. INTERVENTIONS Two operative strategies were used for laparoscopic repair...

BACKGROUND Hiatal hernias may present with heartburn, acid regurgitation, dysphagia, chest pain, pulmonary symptoms and globus jugularis. Due to the heterogeneous presentation, there is a need for a simple diagnostic instrument when hiatal hernia is suspected. Hiatal hernia may impair esophageal bolus transportation. The splash time test is a rough measurement of esophageal bolus transportation...

Background Surgery is recommended as treatment for the sliding hiatal hernia (SHH) in order to create a barrier to reflux of gastric contents into the esophagus and into the upper airways where could cause aspiration pneumonia. The aim of this study was to evaluate the results of laparoscopic surgery in elderly patients over 65 years, with SHH with typical and atypical respiratory symptoms, who...