Differential Diagnosis III: Hiatal Hernia Peptic Ulcer Case Study Hiatal Hernia Protrusion of a part of the stomach through the esophageal hiatus of the diaphragm into the thoracic cavity. Leads to impaired lower esophageal sphincter (LES) function Paraesohpageal Hernia Dr. Scott Laker Michigan Surgery Giant hiatal hernia with intrathoracic spleen: A case report ScienceDirect
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