Esophageal Hiatal Hernia: A Possible Scintigraphic Feature

Saeed Farzanefar; Mahya Zarei; Arefeh Mirzabeigi; Mehrshad Abbasi

doi:10.18502/crcp.v6i2.6679

Saeed Farzanefar Department of Nuclear Medicine, Vali-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Mahya Zarei Research Center for Nuclear Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Arefeh Mirzabeigi Research Center for Nuclear Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Mehrshad Abbasi Research Center for Nuclear Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.

DOI: https://doi.org/10.18502/crcp.v6i2.6679

Keywords: Gastric emptying; Hiatal hernia; Scintigraphy

Abstract

An 81-year-old woman with symptoms of upper Gastrointestinal (GI) obstruction but with no supporting evidence for obstruction in previous endoscopies was studied with a solid-liquid gastric emptying scintigraphic examination. There was evidence of accumulation of the tracer in a part of the stomach in the thorax before filling the stomach. The paraesophageal hiatal hernia was suspected. The diagnosis was not confirmed by other modalities and the patient passed away after upper GI bleeding a month later.