A 61 year old female presents with recurrent pneumonia, regurgitation of food and feeling of fullness. Most probable diagnosis is?
ANSWER: (A) Hiatus herniaREF: Maingot's lltn ed p. 203, CSDT 11th ed p. 482 -485This is an answer of exclusion:In carcinoma esophagus and achlasia the prominent symptom is dysphagia and not regurgitation of food.Tracheoesophageal fistula is unlikely in this age groupSo we are left with hiatal hernia in which all the above mentioned symptoms are present.
Hiatus hernia
Carcinoma esophagus
Tracheoesophageal fistula
Achlasia cardia
Hiatal Hernias