PMC5654331_01
Abdominal X-ray.
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fig1
A plain film abdomen (Figure 1) showed diffuse gaseous distention of bowel with loops of dilated small bowel measuring up to 6.5 cm in diameter.
CT scan.
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fig2
The CT scan (Figures 2(a) and 2(b)) showed large type IV hiatus hernia, which was distended by fluid and gas.