Rolling Non Reducible Intra Thoracic Gastric Hiatus Hernia causing Cardiogenic Shock

Abstract

Para oesophageal (type II) hiatus hernia is a rare anatomical condition and is differentiated from the more common sibling (type I) hiatus hernia. Patients with clinical symptoms associated with para oesophageal hiatus hernia should undergo operative repair as there is a risk of developing life threatening complications in these hernia. We report a case of symptomatic rolling hiatal hernia in a middle aged wom-an, who developed a life threatening volvulus resulting in cardiogenic shock. Keywords: Non reducible gastric fundal and part of the greater curvature hernia, rolling hiatus hernia, para oesophageal hernia