This barium swallow is in a patient with a history of trauma.
Challenge: What do you see?
Image shown under Fair Use.
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I put together these medical challenges. The cases are hypothetical and do not necessarily represent actual or typical presentations of medical diseases. Disclaimer is at the bottom of this page.
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5 comments:
Are we lookin at a hiatal hernia?
yes you're right, it's a diaphragmatic rupture with a hiatal hernia
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Barium
The contrast outlines the hepatic flexture herniated through the dome of the left hemidiaphragm. The white arrows indicate the hiatus.
Source: UpToDate.
Just curious..WIth the history of trauma, what was the rationale for initiating a study with barium?
yes, good catch! that's an important point - if you suspect GI tract injury, gastrograffin is better than barium. For this case, I found the picture with barium on UpToDate, and made up a case to go with it (deciding with trauma because of the epidemiology of diaphgramagic hernias) and totally missed your point. thanks for correcting it!
Thank you!
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