Hiatus hernia MRI

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

Overview

MRI may be helpful in the diagnosis of a hiatus hernia. Findings on MRI suggestive of a hiatus hernia include contiguous high-signal lesion extending from retroperitoneum into the thorax.

MRI

  • MRI may be helpful in the diagnosis of a hiatus hernia. Findings on MRI suggestive of a hiatus hernia include:[1][2][3]
    • Contiguous vessels extending from the abdominal part into the thoracic part of a fatty tumor causing paraesophageal omental herniation.
    • Contiguous high-signal lesion extending from retroperitoneum into the thorax.
    • Gastroesophageal junction was proximal to the diaphragmatic hiatus, the length of the cardiac mucosa was elongated.

References

  1. Robertson, Elaine V; Derakhshan, Mohammad H; Wirz, Angela A; Mitchell, David R; Going, James J; Kelman, Andrew W; Ballantyne, Stuart A; McColl, Kenneth E L (2017). "Hiatus hernia in healthy volunteers is associated with intrasphincteric reflux and cardiac mucosal lengthening without traditional reflux". Gut. 66 (7): 1208–1215. doi:10.1136/gutjnl-2016-311553. ISSN 0017-5749.
  2. Kadlec, J.; Turner, K.; Van Leuven, M. (2012). "Correct assessment of unusual hiatus hernia with magnetic resonance imaging". European Journal of Cardio-Thoracic Surgery. 41 (6): 1402–1402. doi:10.1093/ejcts/ezr265. ISSN 1010-7940.
  3. Rockoff SD, Aaron BL, Black C, Kathuria R, Biben L (1993). "Diagnosis of paraesophageal omental hiatal hernia by magnetic resonance imaging". Chest. 103 (1): 285–7. PMID 8417901.

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