Stomach intrathoracic

Hiatal hernia and intrathoracic stomach are uncommon in children. This condition may be congenital and inherited (Chana et al. 1996). Hiatal hernia may be secondary to congenital esophageal short-... 

Al-Assiri A, Wiseman N, Bunge M (2005) Prenatal diagnosis of intrathoracic stomach (gastric herniation). I Pediatr Surg 40 E15-E17... 

On abdominal X-ray studies, a gastric volvulus maybe suspected. In organoaxial volvulus, a subtle inferiorly displaced gastroesophageal junction may be seen. More typically in mesentericoaxial volvulus, the stomach appears spherical on supine films and a double air-fluid level can be seen in the upright position a superior one in the antrum, and an inferior one in the fundus. On chest radiograph, a ret-rocardiac gas-filled structure, consistent with a diaphragmatic hernia and/or an intrathoracic stomach maybe seen (Fig. 3.5). 

Fig. 12.12a,b. Gastric emphysema complicating gastric volvulus, a Upper AXR and b lateral CXR showing the presence of the intramural air in a patient with a volvulus of an intrathoracic stomach. Residual harium is present from a contrast study performed a few days before... 

---