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Differential diagnosis

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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The sliding hiatus hernia has been called the great masquerader of the upper abdomen. Care must be taken to differentiate it from:

  • cholelithiasis
  • diverticulitis
  • peptic ulcer
  • achalasia
  • angina pectoris - in advanced disease where there is reflux oesophagitis and pain referred to the chest

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