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Progressive hiatal hernia in a woman with swallow syncope (CT)

CT imaging showing progressive hiatal hernia in a 54-year-old woman with swallow syncope as a late complication of sleeve gastrectomy. (A) CT of the abdomen and pelvis showing absence of a hiatal hernia (blue arrow) 13 months before the patient's laparoscopic sleeve gastrectomy. (B) CT of the abdomen and pelvis showing the presence of a hiatal hernia (blue arrow) 8 days after the patient's laparoscopic sleeve gastrectomy. (C) CT angiogram of the chest showing progressive enlargement of a hiatal hernia (blue arrow) 2 months after the patient's laparoscopic sleeve gastrectomy. (From: Rudensky F, Khan SN, Chalasani P. Swallow syncope as a late complication of sleeve gastrectomy. Cureus 2025;17[3]:e81434. Creative Commons Attribution 4.0 International [CC BY 4.0] license, creativecommons.org/licenses/by/4.0.)

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