N Am J Med Sci. 2010 Aug;2(8):395-6. doi: 10.4297/najms.2010.2395.
North American journal of medical sciences
Seied Ahmad Mirdamadi, Mahfar Arasteh
PMID: 22737680 PMCID: PMC3339066 DOI: 10.4297/najms.2010.2395
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