Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 6 2 2021 08 07 47 50 Saeed Farzanefar Department of Nuclear Medicine, Vali-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran. Mahya Zarei Research Center for Nuclear Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Arefeh Mirzabeigi Research Center for Nuclear Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Mehrshad Abbasi Department of Nuclear Medicine, Vali-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran. 2020 06 16 2020 07 03 An 81-year-old woman with symptoms of upper Gastrointestinal (GI) obstruction but with no supporting evidence for obstruction in previous endoscopies was studied with a solid-liquid gastric emptying scintigraphic examination. There was evidence of accumulation of the tracer in a part of the stomach in the thorax before filling the stomach. The paraesophageal hiatal hernia was suspected. The diagnosis was not confirmed by other modalities and the patient passed away after upper GI bleeding a month later. https://crcp.tums.ac.ir/index.php/crcp/article/view/365