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Gastric-Emptying Scintigraphy of Type III Hiatal Hernia: A Case Report

¹ Nuclear Medicine Service, VA Medical Center, Lexington, Kentucky;
² Department of Diagnostic Radiology, College of Medicine, University of Kentucky, Lexington, Kentucky;
³ Radiology Service, VA Medical Center, Lexington, Kentucky

We present the case of a 76-y-old man with mixed (type III) paraesophageal hernia confirmed by endoscopy and CT of the chest who underwent a radionuclide gastric-emptying study that showed accumulation of the radiotracer in the herniated stomach and esophagus in the thorax and accelerated gastric emptying. A scintigraphic gastric-emptying study may be an option for noninvasively demonstrating gastroesophageal accumulation of tracer in patients with hiatal hernia.

Key Words: gastroenterology; radiopharmaceuticals; gastric-emptying study; gastroesophageal reflux; hiatal hernia; scintigraphic