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Health Dictionary

Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Hiatus hernia CT

Introduction

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 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:[1][2][3][4]
    • Retrocardiac air-fluid level 
    • Organs within the hernia sac
  • Para-esophageal hernia via a widened esophageal hiatus:
    • Visualise contents, length, orientation of herniated stomach inside the lower thorax
    • Herniated contents lie adjoining to the esophagus
References

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.
  2. ↑ 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.
  3. ↑ 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.
  4. ↑ 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.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]