J Korean Radiol Soc.  2001 Jul;45(1):79-82. 10.3348/jkrs.2001.45.1.79.

Right Intrathoracic Stomach Secondary to Congenital Hiatal Hernia with Organoaxial Torsion: A Report of Two Cases

• Kim ME
• Pyun HW
• Kim MR
• Kim HJ
• Kim BY
• Lee JG

• KMID: 2200403
• DOI: http://doi.org/10.3348/jkrs.2001.45.1.79

Abstract

Right intrathoracic stomach associated with organoaxial torsion is a rare form of congenital hiatal hernia. We report the radiologic findings in two cases of complete or partial right intrathoracic stomach secondary to congenital hiatal hernia. The barium meal test demonstrated the presence of complete or partial right intrathoracic stomach and non-obstructive organoaxial torsion with the greater curvature lying against the right chest wall. The esophagogastric junction was located above the diaphragm. CT revealed a cystic mass in the right posterior mediastinum. This cystic lesion should be differentiated from other congenital mediastinal cysts.

Keyword

Gastrointestinal tract, abnormalities; Gastrointestinal tract, radiography; Stomach, abnormalities; Stomach, CT

MeSH Terms

Barium
Deception
Diaphragm
Esophagogastric Junction
Hernia, Hiatal*
Meals
Mediastinal Cyst
Mediastinum
Stomach*
Thoracic Wall
Barium