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Computed tomographic evaluation of paraesophageal hernia
1Department of Radiology, University Hospital, St. Louis, Missouri 63104.
Gastrointestinal Radiology
|January 1, 1989
Summary
Paraesophageal hernias are rare but can cause serious complications. Computed tomography (CT) effectively diagnoses these hernias, aiding surgical planning for this uncommon condition.
Area of Science:
- Gastroenterology
- Radiology
- Thoracic Surgery
Background:
- Paraesophageal hernias are less common than sliding hiatus hernias.
- Initially asymptomatic, they can enlarge and lead to severe complications.
- Surgical reduction is the recommended treatment, ideally electively.
Purpose of the Study:
- To describe the computed tomography (CT) findings in patients with paraesophageal hernias.
- To discuss the clinical significance and management of this condition.
Main Methods:
- Retrospective review of CT scans from 4 patients with paraesophageal hernias.
- Analysis of CT characteristics including hiatus widening, hernia size, contents, and gastric position.
Main Results:
- CT clearly visualizes paraesophageal hernias via a widened esophageal hiatus.
- CT accurately documents hernia size, contents, and gastric location in the thorax.
- Hernias were often found incidentally on CT scans.
Conclusions:
- Computed tomography is a valuable tool for diagnosing paraesophageal hernias.
- Understanding CT appearance is crucial for surgical planning and managing this uncommon condition.