Hiatal hernia: the great masquerade in the emergency department
  • Angelina Borizanova
    Department of Emergency medicine, Medical university Sofia, Bulgaria; Clinic of Cardiology, UMHAT “Tsaritsa Yoanna - ISUL” Sofia, Bulgaria
  • Elena Kinova
    Department of Emergency medicine, Medical university Sofia, Bulgaria; Clinic of Cardiology, UMHAT “Tsaritsa Yoanna - ISUL” Sofia, Bulgaria
  • Dimitar Peichinov
    Department of Imaging diagnostics, Medical university Sofia, Bulgaria
  • Plamen Getsov
    Department of Emergency medicine, Medical university Sofia, Bulgaria; Surgery clinic, UMHAT “Tsaritsa Yoanna - ISUL” Sofia, Bulgaria
  • Assen Goudev
    Department of Emergency medicine, Medical university Sofia, Bulgaria; Clinic of Cardiology, UMHAT “Tsaritsa Yoanna - ISUL” Sofia, Bulgaria

Keywords

Hiatal hernia, left atrial mass, echocardiography, carbonated drink

Abstract

Chest pain and dyspnoea are among the most common complaints seen in the emergency room and each symptom calls for a broad differential diagnosis. Large hiatal hernias are infrequent, but they can lead to atypical symptoms mimicking different cardiovascular, pulmonary and neoplastic diseases. We present two cases of older patients with an apparent left atrial mass on transthoracic echocardiography, which was subsequently identified as hiatal hernia by other imaging modalities. A multidisciplinary team with multimodality imaging is necessary for diagnostic work-up of chest pain and dyspnoea of non-cardiac origin and especially for a suspected mass compressing the heart, causing chest discomfort.

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    Published: 2023-04-06
    Issue: 2023: Vol 10 No 4 (view)


    How to cite:
    1.
    Borizanova A, Kinova E, Peichinov D, Getsov P, Goudev A. Hiatal hernia: the great masquerade in the emergency department. EJCRIM 2023;10 doi:10.12890/2023_003834.

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