Hiatus hernia Barium swallow

A 63 years male with epigastic burning pain.

GE reflux in Tredlenburg position.

GE reflux with secondary crico-pharyngeal muscle spasm.

Esophageal perforation.

An elderly person accidentally ate a tablet along with its foil followed by severe chest pain.

Gastrograffin swallow study  was done-

There was a esopahegal tear with leak into the right pleural space. It was managed conservatively. After 1 month he developed right sided empyema. So the tear was sealed by a  plugging device. Gastrograffin swallow done after the procedure did not reveal any leak.

History of trauma-

Bennett Fracture

Should be fixed within one month or else it may undergo malunion after which it has to be managed conservatively. Arthritis of 1st carpo-metacarpal joint is a complication.

A 45 yrs female patient-

Cascade Stomach with large Gastro-esophageal reflux.


Reference:
CASCADE STOMACH* ROENTGEN APPEARANCE AND SIGNIFICANCE By RHONA J. KELLER, M.D., MANSHO T. KHILNANI, M.D., and BERNARD S. WOLF, M.D.
www.ajronline.org 

Waters View PNS-

Bilateral Chronic maxillary sinusitis

Which is this valvular prosthesis?

Aortic Valve prosthesis in situ