Hiatus hernia CT: Difference between revisions
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==Overview== | ==Overview== | ||
Chest CT scan may be helpful in the diagnosis of hiatus hernia . Findings on CT scan suggestive of 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> | |||
**Retrocardiac air-fluid level | |||
**Organs within the hernia sac | |||
* | * Focal fat collection in the middle of the mediastinum | ||
** Omentum herniates via the phrenico-oesophageal ligament | |||
** May also see an growth in the fats surrounding the distal oesophagus | |||
** | |||
** | |||
* 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 oesophagus | |||
* Widening of oesophageal hiatus | |||
** Dehiscence of diaphragmatic crura (>15 mm) | |||
==References== | ==References== |
Revision as of 19:55, 6 February 2018
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Overview
Chest CT scan may be helpful in the diagnosis of hiatus hernia . Findings on CT scan suggestive of 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]
- Retrocardiac air-fluid level
- Organs within the hernia sac
- Focal fat collection in the middle of the mediastinum
- Omentum herniates via the phrenico-oesophageal ligament
- May also see an growth in the fats surrounding the distal oesophagus
- 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 oesophagus
- 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.