Hiatus hernia CT: Difference between revisions
Jump to navigation
Jump to search
| Line 5: | Line 5: | ||
==Overview== | ==Overview== | ||
Chest CT scan may be helpful in the [[diagnosis]] of a [[hiatus hernia]]. Findings on CT scan suggestive of a hiatus hernia include retrocardiac air-fluid level and organs within the hernia | Chest CT scan may be helpful in the [[diagnosis]] of a [[hiatus hernia]]. Findings on CT scan suggestive of a hiatus hernia include retrocardiac air-fluid level and organs within the hernia sac. | ||
==CT scan== | ==CT scan== | ||
*Chest CT scan may be helpful in the diagnosis of hiatus hernia. Findings on CT scan diagnostic of hiatus hernia include:<ref name="pmid23663082">{{cite journal |vauthors=Fukazawa K, Furuta K, Adachi K, Shimura S, Kamiyama K, Aimi M, Ohara S, Kajitani T, Tsurusaki M, Kitagaki H, Kinoshita Y |title=Continuous imaging of esophagogastric junction in patients with reflux esophagitis using 320-row area detector CT: a feasibility study |journal=J. Gastroenterol. Hepatol. |volume=28 |issue=10 |pages=1600–7 |year=2013 |pmid=23663082 |doi=10.1111/jgh.12267 |url=}}</ref><ref name="pmid28848881">{{cite journal |vauthors=Kim C, Ouyang W, Dass C, Zhao H, Criner GJ |title=Hiatal Hernia on Chest High-Resolution Computed Tomography and Exacerbation Rates in COPD Individuals |journal=Chronic Obstr Pulm Dis |volume=3 |issue=2 |pages=570–579 |year=2016 |pmid=28848881 |pmc=5559159 |doi=10.15326/jcopdf.3.2.2015.0158 |url=}}</ref><ref name="pmid18656819">{{cite journal |vauthors=Kahrilas PJ, Kim HC, Pandolfino JE |title=Approaches to the diagnosis and grading of hiatal hernia |journal=Best Pract Res Clin Gastroenterol |volume=22 |issue=4 |pages=601–16 |year=2008 |pmid=18656819 |pmc=2548324 |doi=10.1016/j.bpg.2007.12.007 |url=}}</ref><ref name="pmid26304104">{{cite journal |vauthors=Ouyang W, Dass C, Zhao H, Kim C, Criner G |title=Multiplanar MDCT measurement of esophageal hiatus surface area: association with hiatal hernia and GERD |journal=Surg Endosc |volume=30 |issue=6 |pages=2465–72 |year=2016 |pmid=26304104 |pmc=4767697 |doi=10.1007/s00464-015-4499-9 |url=}}</ref> | *[[Chest]] CT scan may be helpful in the diagnosis of hiatus hernia. Findings on [[CT]] scan diagnostic of hiatus hernia include:<ref name="pmid23663082">{{cite journal |vauthors=Fukazawa K, Furuta K, Adachi K, Shimura S, Kamiyama K, Aimi M, Ohara S, Kajitani T, Tsurusaki M, Kitagaki H, Kinoshita Y |title=Continuous imaging of esophagogastric junction in patients with reflux esophagitis using 320-row area detector CT: a feasibility study |journal=J. Gastroenterol. Hepatol. |volume=28 |issue=10 |pages=1600–7 |year=2013 |pmid=23663082 |doi=10.1111/jgh.12267 |url=}}</ref><ref name="pmid28848881">{{cite journal |vauthors=Kim C, Ouyang W, Dass C, Zhao H, Criner GJ |title=Hiatal Hernia on Chest High-Resolution Computed Tomography and Exacerbation Rates in COPD Individuals |journal=Chronic Obstr Pulm Dis |volume=3 |issue=2 |pages=570–579 |year=2016 |pmid=28848881 |pmc=5559159 |doi=10.15326/jcopdf.3.2.2015.0158 |url=}}</ref><ref name="pmid18656819">{{cite journal |vauthors=Kahrilas PJ, Kim HC, Pandolfino JE |title=Approaches to the diagnosis and grading of hiatal hernia |journal=Best Pract Res Clin Gastroenterol |volume=22 |issue=4 |pages=601–16 |year=2008 |pmid=18656819 |pmc=2548324 |doi=10.1016/j.bpg.2007.12.007 |url=}}</ref><ref name="pmid26304104">{{cite journal |vauthors=Ouyang W, Dass C, Zhao H, Kim C, Criner G |title=Multiplanar MDCT measurement of esophageal hiatus surface area: association with hiatal hernia and GERD |journal=Surg Endosc |volume=30 |issue=6 |pages=2465–72 |year=2016 |pmid=26304104 |pmc=4767697 |doi=10.1007/s00464-015-4499-9 |url=}}</ref> | ||
**Retrocardiac air-fluid level | **Retrocardiac air-fluid level | ||
**Organs within the hernia sac | **Organs within the hernia sac | ||
* Focal fat collection in the middle of the mediastinum | * Focal [[fat]] collection in the middle of the [[mediastinum]] | ||
** Omentum herniates via the phrenic-oesophageal ligament | ** [[Omentum]] herniates via the phrenic-oesophageal ligament | ||
** May also see a growth in the fats surrounding the distal esophagus | ** May also see a [[growth]] in the fats surrounding the distal [[esophagus]] | ||
* Para-esophageal hernia via a widened oesophageal hiatus | * Para-esophageal hernia via a widened oesophageal hiatus | ||
| Line 20: | Line 20: | ||
** Herniated contents lie adjoining to the esophagus | ** Herniated contents lie adjoining to the esophagus | ||
* Widening of oesophageal hiatus | * Widening of oesophageal [[hiatus]] | ||
* Dehiscence of diaphragmatic crura (>15 mm) | * [[Dehiscence]] of diaphragmatic [[crura]] (>15 mm) | ||
==References== | ==References== | ||
Revision as of 19:44, 26 February 2018
|
Hiatus Hernia Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Hiatus hernia CT On the Web |
|
American Roentgen Ray Society Images of Hiatus hernia CT |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]
Overview
Chest CT scan may be helpful in the diagnosis of a hiatus hernia. Findings on CT scan suggestive of a hiatus hernia include retrocardiac air-fluid level and organs within the hernia sac.
CT scan
- Chest CT scan may be helpful in the diagnosis of hiatus hernia. Findings on CT scan diagnostic of hiatus hernia include:[1][2][3][4]
- Retrocardiac air-fluid level
- Organs within the hernia sac
- Focal fat collection in the middle of the mediastinum
- Para-esophageal hernia via a widened oesophageal hiatus
- Visualise contents, length, orientation of herniated stomach inside the lower thorax
- Herniated contents lie adjoining to the esophagus
- Widening of oesophageal hiatus
- Dehiscence of diaphragmatic crura (>15 mm)
References
- ↑ Fukazawa K, Furuta K, Adachi K, Shimura S, Kamiyama K, Aimi M, Ohara S, Kajitani T, Tsurusaki M, Kitagaki H, Kinoshita Y (2013). "Continuous imaging of esophagogastric junction in patients with reflux esophagitis using 320-row area detector CT: a feasibility study". J. Gastroenterol. Hepatol. 28 (10): 1600–7. doi:10.1111/jgh.12267. PMID 23663082.
- ↑ Kim C, Ouyang W, Dass C, Zhao H, Criner GJ (2016). "Hiatal Hernia on Chest High-Resolution Computed Tomography and Exacerbation Rates in COPD Individuals". Chronic Obstr Pulm Dis. 3 (2): 570–579. doi:10.15326/jcopdf.3.2.2015.0158. PMC 5559159. PMID 28848881.
- ↑ Kahrilas PJ, Kim HC, Pandolfino JE (2008). "Approaches to the diagnosis and grading of hiatal hernia". Best Pract Res Clin Gastroenterol. 22 (4): 601–16. doi:10.1016/j.bpg.2007.12.007. PMC 2548324. PMID 18656819.
- ↑ Ouyang W, Dass C, Zhao H, Kim C, Criner G (2016). "Multiplanar MDCT measurement of esophageal hiatus surface area: association with hiatal hernia and GERD". Surg Endosc. 30 (6): 2465–72. doi:10.1007/s00464-015-4499-9. PMC 4767697. PMID 26304104.