Hiatus hernia CT: Difference between revisions

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==Overview==
==Overview==


There are no CT scan findings associated with [disease name].
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 
 
OR
 
[Location] CT scan may be helpful in the diagnosis of [disease name]. Findings on CT scan suggestive of/diagnostic of [disease name] include [finding 1], [finding 2], and [finding 3].
 
OR
 
There are no CT scan findings associated with [disease name]. However, a CT scan may be helpful in the diagnosis of complications of [disease name], which include [complication 1], [complication 2], and [complication 3].


==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


*There are no CT scan findings associated with [disease name].
* Focal fat collection in the middle of the mediastinum
OR
** Omentum herniates via the phrenico-oesophageal ligament
*[Location] CT scan may be helpful in the diagnosis of [disease name]. Findings on CT scan suggestive of/diagnostic of [disease name] include:
** May also see an growth in the fats surrounding the distal oesophagus
**[Finding 1]
**[Finding 2]
**[Finding 3]
OR
There are no CT scan findings associated with [disease name]. However, a CT scan may be helpful in the diagnosis of complications of [disease name], which include:
[Complication 1]
[Complication 2]
[Complication 3]
==Overview==
CT helps verify migration of the [[stomach]] cranially through the hiatus. Sagittal and coronal reformatted images often help demonstrate the [[hernia]] and the hiatal defect.
 
==CT==
'''Patient #1: Sliding hiatal hernia'''
<gallery>
Image:
 
Hiatal-hernia-001.jpg
 
Image:
 
Hiatal-hernia-002.jpg
 
Image:
 
Hiatal-hernia-003.jpg
 
Image:
 
Hiatal-hernia-004.jpg
 
</gallery>
 
'''Patient #2: Sliding hiatal hernia'''
<gallery>
Image:
 
Large-hiatal-hernia-001.jpg
 
Image:
 
Large-hiatal-hernia-002.jpg
 
</gallery>
'''Patient #3: Paraesophageal hernia'''
<gallery>
Image:
 
Paraesophageal-hernia-001.jpg
 
Image:


Paraesophageal-hernia-002.jpg
* 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


</gallery>
* Widening of oesophageal hiatus
** Dehiscence of diaphragmatic crura (>15 mm)


==References==
==References==

Revision as of 19:55, 6 February 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

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

  1. 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.