PMC5523536_01
CT scan showing huge hiatal hernia and upside-down stomach.
CRIS2017-7428195.001.jpg
PMC5523536_01_CRIS2017-7428195.001.jpg
fig1
Computed tomography (CT) scan and upper gastrointestinal series (UGIS) showed a huge paraesophageal hiatal hernia (level IV) with USD (Figures 1 and 2).
UGIS showing paraesophageal hiatal hernia with upside-down stomach.
CRIS2017-7428195.002.jpg
PMC5523536_01_CRIS2017-7428195.002.jpg
fig2
Computed tomography (CT) scan and upper gastrointestinal series (UGIS) showed a huge paraesophageal hiatal hernia (level IV) with USD (Figures 1 and 2).
Endoscopic image of abdomen reduction into the abdominal cavity.
CRIS2017-7428195.003.jpg
PMC5523536_01_CRIS2017-7428195.003.jpg
fig3
The first step was to reduce the stomach into the abdominal cavity (Figure 3).