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A Case of a Diaphragmatic Hernia with Incarceration of the Stomach and its Removal by Gastrointestinal Endoscopy Tatsuya TOMIZUKA, Ayako IIDA, Nanao NEGISHI and Masato KOMURO Musasino General Hospital We report a case of esophageal hiatal hernia with incarcerated stomach in the pleural cavity and its removal using upper gastrointestinal endoscopy. A 97-year-old woman went to a clinic complaining of abdominal pain and vomiting and she was referred to our hospital. Chest CT showed that the antrum and duodenum were incarcerated in the pleural cavity and obstructed, and that the stomach was expanded. Also, as we suspected that the esophageal hiatal hernia incarcerated the stomach, we implemented upper gastrointestinal endoscopy. This demonstrated blockage in the antrum and the endoscope could not pass. We attempted to insert the endoscope several times, and were able to insert it into the duodenum. Key word: esophageal hiatal hernia 食道裂孔ヘルニア嵌頓 (J. Nihon Univ. Med. Ass., 2011; 70 (6): 287–290)