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Intrathoracic Gastric Herniation with Outlet Obstruction

Imaging findings

Herniation of the distal stomach (antrum/pylorus) into the chest, mimicking a hiatal hernia but causing gastric outlet obstruction.

Key takeaways

Not all gastric herniations into the chest are simple sliding hiatal hernias; complications like volvulus or outlet obstruction must be considered when the stomach position is atypical.

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