Nontraumatic chestpainis one of the most common reasons that patients visit the emergency department; it is also frequently encountered in both the inpatient and outpatient settings. The differential diagnosis is broad and includes cardiac (e.g., acute coronary syndrome , pericarditis ), gastrointesti...
Diagnosis Paraesophageal hernia with gastric volvulus . A barium swallow demonstrated a paraesophageal hernia with gastric volvulus ( Figure 3 ) . Hiatal hernias are often asymptomatic but some cause dyspepsia. Ninety-five percent of hiatal hernias are relatively benign type 1 (sliding) hiatal ...