A 71 year-old woman with cardiovascular disorders: extrasystolic, ischemic heart, aortic valve regurgitation.
Lab data: Troponin T elevated.
MSCT for 30% coronary branches obstruction but incidentally detected gastric sliding hernia through esophageal split of the diaphragm.
Chest X-ray and barium esophage: diaphragmatic hernia.
Endoscopy confirmed diaphragmatic sliding hernia of the stomach.
Normal Respiratory function.
Operation for gastric hernia was done and the woman remains well.
Coronary symptoms may mimick gastric signs, and in this case, coronary MSCT could also detect a gastric sliding hernia beside 30% stenosis of branches of coronary arteries.