PMC2239218_01
Upper gastrointestinal endoscopy: inversion view into the gastric fundus.
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fig1
Whereas the oesophagus, the lower stomach, and the duodenum were without abnormalities, a small hole in the fundus was visible after inversion of the scope (Figure 1).
Fluoroscopy after contrast dye application via the "hole in the stomach" revealed a large intrathoracal herniation of the gastric fundus.
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fig2
Fluoroscopy revealed a diaphragmatic hernia with a large herniation of the gastric fundus (Figure 2).
Orifice of the left part of the diaphragm (arrow).
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fig3
Immediate laparotomy showed a 3 cm orifice of the diaphragm (Figure 3).
Partial necrosis of the incarcerated fundus (arrow).
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fig4
The orifice was widened and a partial necrosis of the incarcerated fundus was resected (Figure 4).