Massive hiatus hernia associated with scoliosis in a female cadaver

Kyphoscoliosis is often associated with enlarged oesophageal hiatus. It is suggested that this spinal deformity leads to prolonged stretching of the diaphragm causing herniation of abdominal organs, particularly the stomach into the thorax. Such a hiatal hernia can compress thoracic viscera, produce symptoms like shortness of breath and intermittent pain after ingestion of food. This cadaveric report discusses a case of a giant, sliding-type of hiatal hernia accompanied by scoliosis with rightsided deviation of the thoracic aorta and smallsized left lung. All patients presenting gastrointestinal symptoms with coexistence of vertebral column anomalies should be evaluated for the occurrence of intra-thoracic stomach

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