Esophagus CT Appearances

Hiatal Hernia CT Findings

Four types

• Type 1: Sliding hernia
  • EGJ Is displaced upward toward the hiatus
• Type 2: Paraesophageal hernia
  • Part of the stomach migrates into the mediastinum parallel to the esophagus
• Type 3: Features of both type 1 and 2
• Type 4: Intrathoracic stomach
  • Stomach and another organ (colon, small bowel, spleen) herniate into the chest

Other Information About Hiatal Hernia

Etiology:

• Common in older (50+) patients
• Trauma
• Obesity

Epidemiology:

• Can affect any age but most patients are aged 50 and older

Presentation:

• Heartburn
• Dysphagia
• Indigestion
• Chest pain
• Vomiting

Prognosis:

• Can be managed with medication and necessary surgery

Related Pearls: Hiatal Hernia