Unusual Swallow Syncope Caused by Huge Hiatal Hernia

Toru MAEKAWA; Masakuni SUEMATSU; Temiko SHIMADA; Masayoshi GO; Takao SHIMADA

doi:10.2169/internalmedicine.41.199

Toru MAEKAWA, Masakuni SUEMATSU, Temiko SHIMADA, Masayoshi GO, Takao SHIMADA

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Keywords: swallowing, esophagus

JOURNAL FREE ACCESS

2002 Volume 41 Issue 3 Pages 199-201

DOI https://doi.org/10.2169/internalmedicine.41.199

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Abstract

Swallowing is a rare cause of syncope. A 76-year-old woman was admitted to a hospital due to postprandial loss of consciousness. Although no remarkable cardiogenic problem was proven, upper gastrointestinal barium examination revealed a huge hiatal hernia. Both echocardiography and MRI presented the collapsed left atrium due to the herniated stomach. Water pouring examination successfully represented lightheadedness, and Nissen's fundoplication was carried out. After this procedure, she never suffered from syncopal attack.
(Internal Medicine 41:199-201, 2002)

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