PMC9949735_01
Upright radiograph. Abdominal and chest radiograph in posteroanterior view shows large air-fluid level mass at the left upper quadrant, indicating a hiatal hernia (arrow). There is no sign of pneumoperitoneum, indicating no evidence of perforation.
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FIG1
Axial computerized tomography. Axial computerized tomography image shows a portion of the antrum (arrow) at the same level as fundus (arrowhead) in the mediastinum, meeting the diagnostic criteria of hiatal hernia with mesenteroaxial volvulus of the stomach. Gastric wall thickening and adjacent fluid indicate active inflammation.
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FIG2