1,634 results match your criteria Hiatal Hernia Imaging


Noninvasive Positive Pressure Ventilation (NIPPV)-Associated Expanding Hiatal Hernia Causing Pulmonary Tamponade: A Case Report on Unusual Complication of NIPPV.

Cureus 2022 May 17;14(5):e25069. Epub 2022 May 17.

Internal Medicine, Conemaugh Memorial Medical Center, Johnstown, USA.

Numerous diseases related to gastric distension have been found and shown to be linked with noninvasive positive pressure ventilation (NIPPV). We describe the case of a 93-year-old female who came with progressively worsening shortness of breath that initially responded to NIPPV but subsequently deteriorated. Imaging revealed gaseous distension of a preexisting hiatal hernia with air-fluid levels and compressive effects on the left lower lobe of the lung. Read More

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Significance of thickening of the upper gastrointestinal tract on cross sectional imaging: Endoscopic correlation.

Eur J Surg Oncol 2022 Jun 4. Epub 2022 Jun 4.

Department of Surgery, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, UK; Leicester Cancer Research Centre, University of Leicester, UK. Electronic address:

Aim: To report the endoscopic findings for a cohort of patients referred for discussion at a specialist oesophago-gastric multi-disciplinary team (MDT) meeting, on the basis of CT mural thickening.

Patients And Methods: The records of patients discussed at a regional oesophago-gastric MDT during the time 1 April 2014 to 5 February 2016 were reviewed in order to identify patients who were endoscopy naïve at the time of CT and scans re-reviewed to measure maximum wall thickness.

Results: 456 patients were referred for discussion, 126 met the inclusion criteria. Read More

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All that wheezes is not asthma - giant hiatal hernia.

Am J Med 2022 Jun 6. Epub 2022 Jun 6.

Departments of Medicine (AS, ID) and Imaging (YG), Laniado Hospital, Sanz Medical Centre, Netanya, and the Faculty of Medicine, Hebrew University Hadassah Medical School, Jerusalem (AS), Israel.

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Pediatric Gastric Volvulus: Is Laparoscopic Hill-Snow-Modified Gastropexy the Effective Long-Term Minimally Invasive Solution?

J Laparoendosc Adv Surg Tech A 2022 Jun 6. Epub 2022 Jun 6.

Department of Pediatric Surgery and Pediatric Minimally Invasive Surgery and New Technologies, San Bortolo Hospital, Vicenza, Italy.

Gastric volvulus (GV) is a rare and life-threatening condition if not promptly diagnosed and treated. Extreme rotation can cause obstruction cutting off blood supply to stomach and distal organs, leading to ischemia and necrosis. It is a clinically significant cause of acute/recurrent abdominal pain and chronic vomiting in children. Read More

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The prevalence and clinical significance of incidental non-cardiac findings on cardiac magnetic resonance imaging and unreported rates of these findings in official radiology reports.

Pol J Radiol 2022 5;87:e207-e214. Epub 2022 Apr 5.

Department of Cardiology, Pamukkale University, Denizli, Turkey.

Purpose: To evaluate the prevalence and significance of incidental non-cardiac findings (NCFs) on cardiac magnetic resonance imaging (MRI). We also aimed to assess the unreported rate and clinical significance of NCFs in official radiological reports.

Material And Methods: Consecutive cardiac MRI examinations of 400 patients were retrospectively analysed and MR images reviewed by 2 observers blinded to official radiology reports. Read More

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Staple Line Intrathoracic Migration After Sleeve Gastrectomy: Correlation between Symptoms, CT Three-Dimensional Stomach Analysis, and 24-h pH Monitoring.

Obes Surg 2022 May 2. Epub 2022 May 2.

Department of Digestive, Bariatric and Endocrinal Surgery, Avicenne University Hospital, 125 route de Stalingrand, 93000 CEDEX, Bobigny, Paris, France.

Purpose: Migration of the staple line is the definition of sliding hiatus hernia in sleeve gastrectomy patients. The main aim was to determine the frequency and measurement of intrathoracic staple line migration and its correlation with GERD symptoms and pH monitoring.

Materials And Methods: This was a prospective clinical trial including all patients who underwent sleeve gastrectomy more than 1 year previously. Read More

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Severe Dysphagia is Rare After Magnetic Sphincter Augmentation.

World J Surg 2022 Apr 29. Epub 2022 Apr 29.

Department of Surgery, Division of General Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.

Background: Dysphagia remains the most significant concern after anti-reflux surgery, including magnetic sphincter augmentation (MSA). The aim of this study was to evaluate postoperative dysphagia rates, its risk factors, and management after MSA.

Methods: From a prospectively collected database of all 357 patients that underwent MSA at our institution, a total of 268 patients were included in our retrospective study. Read More

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A Breathtaking Hernia: A Giant Hiatal Hernia Masquerading as Poorly Controlled Asthma.

Cureus 2022 Feb 16;14(2):e22268. Epub 2022 Feb 16.

Internal Medicine, University of Florida College of Medicine, Jacksonville, USA.

A 93-year-old female presented with persistent shortness of breath and wheezing since the consumption of a meal. Her past medical history is significant for a clinical diagnosis of asthma at the age of 88 years, without pulmonary function testing, complicated by several prior visits to the emergency department (ED) for recurrent exacerbations. Multiple bronchodilators in the ED provided only minimal improvement in her symptoms. Read More

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February 2022

Laparoscopic giant hiatal hernia repair with absorbable mesh.

J Minim Access Surg 2022 Apr-Jun;18(2):248-253

Emergency Surgery Unit, DEA Department, Careggi University Hospital, Florence, Italy.

Background: The best operative approach to large hiatal hernias still remains controversial between suture cruroplasty and prosthetic hiatal herniorrhaphy. This study aims at analysing results from a single institution in Italy in terms of subjective and objective outcomes.

Methods: Retrospectively collected data of all patients that underwent laparoscopic hiatal hernia repair since 2011 were considered. Read More

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Late presentation of congenital type IV esophageal hiatus hernia in a 9-year-old boy: a case report.

J Med Case Rep 2022 Mar 15;16(1):104. Epub 2022 Mar 15.

Department of Pediatric, Clinical Research Development Center of Children Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

Background: Congenital diaphragmatic hernia affects 1 in every 2000-5000 live births. The mediastinum shifts to the opposite side, the lungs are hypoplastic, and the arterioles are abnormal, resulting in pulmonary hypertension. Respiratory and cardiovascular functions are severely impaired at birth, resulting in significant mortality and morbidity as a result of the associated malformations. Read More

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Delayed presentation of congenital diaphragmatic hernia: a case report.

Pan Afr Med J 2021 21;40:242. Epub 2021 Dec 21.

Department of Orthopedy, Ibb University of Medical Science, Ibb, Yemen.

Congenital diaphragmatic hernia (CDH) is known as a structural defect caused by inadequate fusion of the pleuroperitoneal membrane forming the diaphragm, allowing peritoneal viscera to protrude into the pleural cavity. It affects nearly one out of 2500 live births. We here report the case of a six-month-old boy with left diaphragmatic hernia presenting with poor feeding, breathing difficulty, cough, and recurrent pneumonia in the last 2 months. Read More

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Complex hiatal hernia with gastric volvulus associated.

Cir Esp (Engl Ed) 2022 03 23;100(3):172. Epub 2022 Feb 23.

Servicio de Cirugía General y Digestiva, Departamento de Cirugía Gastrointestinal, Hospital Clínic de Barcelona, Universitat de Barcelona, Barcelona, Spain.

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'Back-and-Forth Stomach' CT Imaging Findings of a Pathophysiologic Entity Causing Acute Gastric Volvulus.

Tomography 2022 01 21;8(1):245-256. Epub 2022 Jan 21.

Department of Radiology, Infanta Margarita Hospital, 14940 Cabra, Spain.

Background: Gastric volvulus (GV) is a life-threatening emergency condition that prompts emergent surgical management. With the advent of high-resolution computed tomography (CT), the role of radiologists in its diagnosis has become essential. Although many cases of GV have been described in the literature, its pathophysiology is still poorly understood. Read More

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January 2022

Evaluating gastric remnant ischemia by indocyanine green fluorescence-guided surgery after distal gastrectomy in a patient with prior Nissen fundoplication: A case report.

Int J Surg Case Rep 2022 Mar 4;92:106813. Epub 2022 Feb 4.

Department of Surgery, The Jikei University School of Medicine, 3-19-18 Nishi-shinbashi, Minato-ku, Tokyo 105-8471, Japan.

Introduction: Recent studies showed that intraoperative indocyanine green (ICG) fluorescence imaging-guided surgery helped evaluate organ perfusion. Whereas whether the gastric remnant can be preserved after distal gastrectomy for the cases of post-Nissen fundoplication remains unclarified. This case report demonstrated the applicability of intraoperative ICG fluorescence-guided surgery to assess the gastric remnant's blood supply after distal gastrectomy. Read More

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Impedance planimetry (EndoFLIP™) after magnetic sphincter augmentation (LINX®) compared to fundoplication.

Surg Endosc 2022 Feb 15. Epub 2022 Feb 15.

Department of Surgery, NorthShore University Health System, Evanston, IL, USA.

Introduction: Functional luminal imaging probe (FLIP) use during laparoscopic fundoplication (LF) for gastroesophageal reflux disease is well described. However, there is a lack of data on FLIP measurements during magnetic sphincter augmentation (MSA). This study aims to report our institutional experience in performing FLIP during MSA and to compare these measurements to those obtained during Nissen and Toupet fundoplication. Read More

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February 2022

Bilateral Intracardiac Microbubbles in a Patient With Giant Hiatus Hernia: A Case Report.

Cureus 2022 Jan 4;14(1):e20933. Epub 2022 Jan 4.

Community Medicine Management, Shimane University Faculty of Medicine, Izumo, JPN.

Intracardiac microbubbles may occur inadvertently during a cardiac procedure, which are typically reported in patients with central venous catheters or cardiac prosthetic valves. Here, we report a case wherein a microbubble filling in the bilateral atriums and ventricles was revealed during echocardiography despite the patient not having the aforementioned risks. An 87-year-old man with hypertension was admitted with a diagnosis of heart failure caused by a giant hiatal hernia. Read More

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January 2022

Isolated dextrogastria with eventration of right hemidiaphragm and hiatal hernia in an adult male.

BMC Gastroenterol 2022 Feb 10;22(1):56. Epub 2022 Feb 10.

BreathMAT Lab, Pakistan Institute of Nuclear Science and Technology, Islamabad, Pakistan.

Background: Type 2 isolated dextrogastria in conjunction with protrusion of the right hemidiaphragm and hiatal hernia is an uncommon anomaly among all transpositions of the viscera. Clear diagnosis is not straightforward in such cases both clinically and with various imaging techniques leaving often only laparotomy for diagnosis.

Case Presentation: Here, we discuss the case of a so far asymptomatic 19-year-old male, who had a 3-month history of abdominal pain and 2 days of vomiting with absolute constipation, and reduced air entry in the base of the right lung. Read More

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February 2022

Post-operative gastric outlet obstruction of giant hiatal hernia repair: a case report.

BMC Gastroenterol 2022 Feb 5;22(1):47. Epub 2022 Feb 5.

Department of Gastrointestinal and Hernia Surgery, First Affiliated Hospital of Kunming Medical University, 295 Xichang Road, Wuhua, Kunming, 650032, Yunnan Province, China.

Background: Giant hiatal hernia is defined as those with more than 30% of the stomach herniating into the chest cavity. The transabdominal laparoscopic approach is the well-established repair form for giant hiatal hernia. To our best knowledge, reports on post-operative gastric outlet obstruction of giant hiatal hernia repair have been scanty up till now. Read More

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February 2022

Preoperative calculation of angles of vision and working area in laparoscopic surgery to treat a giant hiatal hernia.

World J Gastrointest Surg 2021 Dec;13(12):1638-1650

Surgery Service, Antequera Hospital, Rincón de la Victoria 29730, Málaga, Spain.

Background: Giant hiatal hernias still pose a major challenge to digestive surgeons, and their repair is sometimes a highly complex task. This is usually performed by laparoscopy, while the role of the thoracoscopic approach has yet to be clearly defined.

Aim: To preoperatively detect patients with a giant hiatal hernia in whom it would not be safe to perform laparoscopic surgery and who, therefore, would be candidates for a thoracoscopic approach. Read More

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December 2021

Acute Gastric Volvulus in the Setting of a Paraesophageal Hernia With Hemoperitoneum: Emergency Department Diagnosis and Management.

Cureus 2021 Dec 14;13(12):e20404. Epub 2021 Dec 14.

Emergency Medicine, Envision Physician Services, Plantation, USA.

Acute gastric volvulus is an uncommon emergency department (ED) presentation associated with high mortality from gastric ischemia and perforation. The diagnosis of this pathology is complicated by its intermittent symptoms and similarity in presentation to more common disorders encountered in the ED. Assessing for key risk factors, such as the presence of a hiatal hernia, and the use of expeditious imaging modalities, such as bedside radiography and point-of-care ultrasonography, are essential in rapid diagnosis and time-sensitive, definitive surgical intervention. Read More

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December 2021

Gangrenous Cholecystitis From Gallbladder Volvulus With a Hiatal Hernia.

Am Surg 2022 Apr 10;88(4):804-806. Epub 2022 Jan 10.

Department of Surgery, 70274University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, TN, USA.

Gallbladder volvulus is a rare condition involving the rotation of the gallbladder about the cystic duct and vascular pedicle, compromising biliary drainage and blood flow. This report describes a case of gallbladder volvulus presenting in an 88-year-old female with acute onset of right upper quadrant abdominal pain, nausea, and vomiting. Complete work-up included a physical exam, laboratory studies, and computed tomography (CT), which was notable for a markedly distended gallbladder with circumferential wall thickening, pericholecystic fluid, a 12 mm common bile duct, and a hiatal hernia. Read More

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Traction-induced aneurysm of an accessory left hepatic artery: a potentially fatal but synchronously treatable complication of a large hiatus hernia.

Ann R Coll Surg Engl 2022 Jun 4;104(6):e174-e176. Epub 2022 Jan 4.

London North West University Healthcare NHS Trust, UK.

A 59-year-old man presented to our surgical clinic with a long-standing history of heart burn, and upper abdominal pain. Gastroscopy showed a large sliding hiatus hernia associated with severe reflux oesophagitis. Oesophageal pH manometry revealed a high DeMeester score of 36. Read More

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Longitudinal Follow-Up With Radiologic Screening for Recurrence and Secondary Hiatal Hernia in Neonates With Open Repair of Congenital Diaphragmatic Hernia-A Large Prospective, Observational Cohort Study at One Referral Center.

Front Pediatr 2021 17;9:796478. Epub 2021 Dec 17.

Department of Pediatric Surgery, University Children's Hospital Mannheim, University of Heidelberg, Mannheim, Germany.

After neonatal repair of congenital diaphragmatic hernia (CDH) recurrence is the most severe surgical complication and reported in up to 50% after patch implantation. Previous studies are difficult to compare due to differences in surgical techniques and retrospective study design and lack of standardized follow-up or radiologic imaging. The aim was to reliably detect complication rates by radiologic screening during longitudinal follow-up after neonatal open repair of CDH and to determine possible risk factors. Read More

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December 2021

Advanced Endoscopic Imaging and Interventions in GERD: An Update and Future Directions.

Front Med (Lausanne) 2021 29;8:728696. Epub 2021 Nov 29.

Division of Gastroenterology, Long School of Medicine, University of Texas Health San Antonio, San Antonio, TX, United States.

Gastroesophageal reflux disease (GERD) is one of the most common gastrointestinal diseases encountered in primary care and gastroenterology clinics. Most cases of GERD can be diagnosed based on clinical presentation and risk factors; however, some patients present with atypical symptoms, which can make diagnosis difficult. An esophagogastroduodenoscopy can be used to assist in diagnosis of GERD, though only half of these patients have visible endoscopic findings on standard white light endoscopy. Read More

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November 2021

[Giant diaphragmatic hernia complicated with esophagogastric perforation].

Medicina (B Aires) 2021;81(6):1087

Servicio de Cirugía General, Sanatorio Allende Sede Nueva Córdoba, Córdoba, Argentina.

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December 2021

Assessment of esophagogastric junction morphology by dynamic real-time MRI: comparison of imaging features to high-resolution manometry.

Jpn J Radiol 2022 Apr 7;40(4):376-384. Epub 2021 Dec 7.

Department of Diagnostic and Interventional Radiology, University Medical Center Göttingen, Göttingen, Germany.

Purpose: To assess the esophagogastric junction (EGJ) on real-time MRI and compare imaging parameters to EGJ morphology on high-resolution manometry (HRM).

Methods: A total of 105 of 117 eligible patients who underwent real-time MRI and high-resolution manometry for GERD-like symptoms between 2015 and 2018 at a single center were retrospectively evaluated (male n = 57; female n = 48; mean age 52.5 ± 15. Read More

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Air-Fluid Level in the Right Hemithorax: A Case Hard to Stomach.

Gastroenterology 2022 Jun 30;162(7):e12-e13. Epub 2021 Nov 30.

Department of Internal Medicine, Wright State University Boonshoft School of Medicine, Dayton, Ohio.

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Clinical Impacts of Juxtapapillary Duodenal Diverticulum Detected on Computed Tomography.

Curr Med Imaging 2022 ;18(3):346-352

Department of Radiology, Van Yuzuncu Yil University, Faculty of Medicine, Van, Turkey.

Background: Diverticula are commonly observed in the duodenum. Duodenal Diverticulum (DD) usually does not give symptoms throughout life and is diagnosed by coincidence. However, it may present with different symptoms in patients. Read More

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ACR Appropriateness Criteria® Epigastric Pain.

J Am Coll Radiol 2021 11;18(11S):S330-S339

Specialty Chair; and Director, CT and MRI, and Section Chief, Abdominal Imaging, Virginia Commonwealth University Medical Center, Richmond, Virginia.

Epigastric pain can have multiple etiologies including myocardial infarction, pancreatitis, acute aortic syndromes, gastroesophageal reflux disease, esophagitis, peptic ulcer disease, gastritis, duodenal ulcer disease, gastric cancer, and hiatal hernia. This document focuses on the scenarios in which epigastric pain is accompanied by symptoms such as heartburn, regurgitation, dysphagia, nausea, vomiting, and hematemesis, which raise suspicion for gastroesophageal reflux disease, esophagitis, peptic ulcer disease, gastritis, duodenal ulcer disease, gastric cancer, or hiatal hernia. Although endoscopy may be the test of choice for diagnosing these entities, patients may present with nonspecific or overlapping symptoms, necessitating the use of imaging prior to or instead of endoscopy. Read More

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November 2021

The Outcomes of Performing Partial Fundoplication Based on Endoflip Versus Manometric Findings.

Am Surg 2022 May 18;88(5):908-914. Epub 2021 Nov 18.

Department of Surgery, 24729Chesapeake Regional Medical Center, Chesapeake, VA, USA.

Background: The surgical management of gastroesophageal reflux disease (GERD) involves extensive diagnostic studies and sophisticated surgical techniques. The workup should be comprehensive and purposeful. High resolution impedance manometry (HRIM) provides valuable information regarding peristalsis and lower esophageal sphincter relaxation. Read More

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