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The Old Endoscopy Quiz (and Answer) of the Month
October 1999

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Question:

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This middle-aged man was examined because of anaemia. His oesophagus and cardia were normal, and so was the upper part of his stomach. However, it was quite impossible to bring the endoscope into the antrum, which thus could not be examined. An x-ray-examination was made, and this is the result. What disease does he have?

Answer

A large paraoesophageal hernia. The patient did not have any dysphagia and no other treatment than expectation was needed. The anaemia cured itself spontaneously and we are not sure, if the paraoesophageal hernia can explain the patients anaemia.

Answers were emailed by:

Josep Roure, Girona, Spain
ME Mosese, Witsieshoek, RSA
Rogerio Godinho, Barreiro, Portugal
Elson, Santos, SP/Brazil
Jiri Lastuvka, Usti nad Labem, Czech Rebublic
Tom, Salt Lake City, USA/UT
Alan Gold, Brisbane, Queensland, Australia
Lars G Salde, Lund, Sweden

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