A CASE OF ESOPHAGEAL HIATUS HERNIA WITH PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA

Abstract

A 37-year-old man complaining of palpitation on exercise was referred to the hospital with diagnoses of esophageal hiatus hernia and paroxysmal supraventricular tachycardia by another hospital. After admission chest roentogenogram showed a gastric air bubble with fluid level in the posterior mediastinum. An upper gastrointestinal series revealed esophageal hiatus hernia presenting “upside down stomach”. Whenever the patient felt palpitation, the electrocrdiogram showed supraventricular tachycardia, which was resistive to any kinds of antiarrhythmic medications. He underwent an abdominal operation to prevent gastric volvulus and to be relieved from palpitation caused by the paroxysmal supraventricular tachycardia. The stomach was withdrawn, the hernia orifice was repaired, and the Nissen fundoplication was performed for the prevention of gastroesophageal reflux. He has been well for five years with neither recurrence of hernia nor paroxysmal supraventricular tachycardia.