Brown Alex, Austin David, Kanakala Venkatesh
Cardiology, The James Cook University Hospital, Middlesbrough, UK.
BMJ Case Rep. 2017 May 22;2017:bcr-2017-219595. doi: 10.1136/bcr-2017-219595.
A 42-year-old man was admitted to coronary care for assessment with severe retrosternal chest pain. Echocardiography showed significant external compression of the left atrium. A subsequent CT scan revealed him to have a large hiatus hernia, with most of his stomach herniating into his thorax causing left atrial compression and gastric volvulus. He subsequently underwent successful emergency decompression of the gastric volvulus and repair of his hiatus hernia.
