TY - JOUR T1 - Stomach versus lungs: the case of a giant hiatal hernia JF - Thorax JO - Thorax SP - 200 LP - 201 DO - 10.1136/thoraxjnl-2013-205080 VL - 70 IS - 2 AU - Elaine Soon AU - Craig Vickery AU - Thomas Pulimood Y1 - 2015/02/01 UR - http://thorax.bmj.com/content/70/2/200.abstract N2 - A 92-year-old man presented in extremis with respiratory failure. His chest X-ray (CXR) (figure 1A) showed right lower zone opacification and an intrathoracic gastric bubble. Emergency CT showed a giant paraoesophageal hiatal hernia containing his stomach, spleen and transverse colon (figure 1B,C). Nasogastric drainage failed to decompress the stomach; which had undergone volvulus. Figure 1 (A) Plain chest radiograph showing the presence of a stomach bubble within the thoracic cavity. (B) and (C) CT images showing the presence of … ER -