An Unusual Presentation of Diaphragmatic Hernia

An Unusual Cause of Syncope: Diaphragmatic Hernia

“…4 Nevertheless, rare cases of congenital and traumatic hernia may localize anteriorly and can be taken for a mass lesion compressing the right atrium. 5 We performed the echocardiogram after a fasting period of 12 hours, but not after a meal, so this may be a reason for our failure to demonstrate an obstructive effect of the hernia. Although there is no data about the effects of eating on the intra-abdominal pressure, several studies showed that obesity and elevated BMI are well correlated with increased intraabdominal pressure.…”

“…Hiatal hernia has mostly been reported to mimic a mass next to the left atrium due to its posterior location . Nevertheless, rare cases of congenital and traumatic hernia may localize anteriorly and can be taken for a mass lesion compressing the right atrium . We performed the echocardiogram after a fasting period of 12 hours, but not after a meal, so this may be a reason for our failure to demonstrate an obstructive effect of the hernia.…”