Hiatus hernia CT: Difference between revisions
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{{Hiatus hernia}} | {{Hiatus hernia}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}}{{VKG}} | ||
==Overview== | ==Overview== | ||
Chest CT scan may be helpful in the diagnosis of hiatus hernia . Findings on CT scan suggestive of | 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== | ||
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* Focal fat collection in the middle of the mediastinum | * Focal fat collection in the middle of the mediastinum | ||
** Omentum herniates via the | ** Omentum herniates via the phrenic-oesophageal ligament | ||
** May also see | ** 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 | ||
** Visualise contents, length, orientation of herniated stomach inside the lower thorax | ** Visualise contents, length, orientation of herniated stomach inside the lower thorax | ||
** Herniated contents lie adjoining to the | ** Herniated contents lie adjoining to the esophagus | ||
* Widening of oesophageal hiatus | * Widening of oesophageal hiatus |
Revision as of 19:59, 6 February 2018
Hiatus Hernia Microchapters |
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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]
- Retrocardiac air-fluid level
- Organs within the hernia sac
- Focal fat collection in the middle of the mediastinum
- Omentum herniates via the phrenic-oesophageal ligament
- May also see a growth in the fats surrounding the distal esophagus
- 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.
- ↑ Kost TA, Jones EV, Smith KM, Reed AP, Brown AL, Miller TJ (1989). "Biological evaluation of glycoproteins mapping to two distinct mRNAs within the BamHI fragment 7 of pseudorabies virus: expression of the coding regions by vaccinia virus". Virology. 171 (2): 365–76. PMID 2548324.