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Transesophageal two-dimensional echocardiographic identification of hiatal hernia. | LitMetric

We report a case of a middle-aged woman in whom a transesophageal echocardiogram showed a mass-like lesion posteriorly near the descending thoracic aorta. We were able to make a definitive diagnosis of this mass as a hiatal hernia because of a thick inner lining measuring 6-9 mm in thickness similar to the stomach mucosa, and the presence of a few microbubbles within the mass. In addition, the microbubbles increased considerably after 10 cc of agitated normal saline flush via a nasogastric tube.

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http://dx.doi.org/10.1111/j.1540-8175.2005.50017.xDOI Listing

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