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N Am J Med Sci. 2010 Aug;2(8):395-6. doi: 10.4297/najms.2010.2395.

Hiatal hernia: An unusual presentation of dyspnea.

North American journal of medical sciences

Seied Ahmad Mirdamadi, Mahfar Arasteh

Affiliations

  1. Department of Echocardiography, Azad University Najafabad Branch, Iran.

PMID: 22737680 PMCID: PMC3339066 DOI: 10.4297/najms.2010.2395

Abstract

CONTEXT: Hiatal hernia is an infrequent but serious cause of dyspnea. We report a case of acute dyspnea and paroxysmal nocturnal dyspnea secondary to hiatal hernia and epicardial fat pad.

CASE REPORT: A 78-year-old woman presented with dyspnea and paroxysmal nocturnal dyspnea. Lab data and physical examination were normal. Computed tomography scan demonstrated a large hiatal hernia and epicardial fat pad.

CONCLUSION: Although rare, hiatal hernia should be suspected in patients who develop unexplained dyspnea.

Keywords: Hiatal hernia; dyspnea

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