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Jobe, B.A., Hunter, J.G. and Watson, D.I. (2004) Technical Aspects of Laparoscopic Paraesophageal Hernia Repair. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 14, 173-179.

has been cited by the following article:

• TITLE: Mutual Door Blockage Sign [4] (Khedewy Sign): A Novel CT Imaging Indicator of Type III Hiatal Hernia

  AUTHORS: Ahmed Khedewy Ahmed

  KEYWORDS: Hiatal Hernia, Type III Hernia, CT Imaging, Khedewy Sign, Mutual Door Blockage, Radiology Case Study

  JOURNAL NAME: Open Journal of Radiology, Vol.15 No.3, September 2, 2025

  ABSTRACT: Type III hiatal hernias, or mixed paraesophageal hernias, involve both the gastroesophageal junction (GEJ) and part of the stomach herniating through the esophageal hiatus. We present a case of a 68-year-old male with symptomatic hiatal hernia in which coronal CT imaging revealed a unique anatomical configuration. The stomach and esophagus appear to converge within the hiatus in a manner resembling two individuals blocking each other at a doorway. We propose the term Mutual Door Blockage Sign [4]? (Khedewy Sign) to describe this configuration. This sign may assist radiologists and clinicians in identifying and differentiating complex hiatal hernias with greater clarity and diagnostic confidence.