Hiatal Hernia by Rolling Revealed by Respiratory Symptoms: A Rare Condition and Atypical Presentation

作     者：Hind Serhane Othmane Ouardi Hafsa Sajiai Selma Aitbatahar Lamyae Amro Hind Serhane;Othmane Ouardi;Hafsa Sajiai;Selma Aitbatahar;Lamyae Amro

作者机构：Department of Respiratory Medicine Laboratory PCIM Faculty of Medicine and Pharmacy Cadi Ayyad University Marrakesh Morocco 

出 版 物：《Case Reports in Clinical Medicine》 (临床医学病理报告（英文）)

年 卷 期：2016年第5卷第9期

页      面：330-334页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Hiatal Hernia Diaphragmatic Hernia Rolling Hernia Retrosternal Pain Respiratory Symptoms 

摘      要：Hiatal hernia by rolling is a rare pathology estimated at 5% of all diaphragmatic hernias. It is usually asymptomatic. Sometimes, it can be accompanied by different symptoms, such as post prandial bloating, dysphagia, regurgitation, retro sternal pain, even respiratory symptoms. The aim of this article is to show that a hiatus hernia by rolling can cause a misleading clinical picture that may be taken wrongly for a heart or respiratory disease. We report the case of an 80-year-old patient whose presentation was suggestive of an acute heart condition, but the scan confirmed a rolling diaphragmatic hernia. Because of the rarity and the atypical presentation of this case, we have found it desirable to bring this new observation.