MDCT Diagnosis of Isolated Colonic Hernia Through the Esophageal Hiatus

ISSN: 2146-3123
Başlangıç: 2015
Yayıncı: Erkan Mor

Colonic herniation through the esophageal hiatus is an unusual condition. Isolated trans-hiatal herniation of the transverse colon is very rare and only five cases have been reported. All these reported patients were symptomatic, and had dysphagia, epigastralgia, vomiting, dyspnea, cough, or palpitations. Hiatal hernia is an important clinical problem. Because of the severe complications of hiatal hernia, including bleeding, strangulation, and perforation, early diagnosis and treatment are important. A 75-year-old man who had prostate carcinoma was evaluated with multidetector computed tomography (MDCT). In this case, CT findings and clinical emphasis of the incidentally discovered isolated transverse colonic hiatal herniation was reviewed.

Keywords:

Esophageal hiatus, hernia, multidetector computed tomography (MDCT),

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Tabira Y, Yoshida Y, Sakaguchi T, Yoshimatsu S. Isolated colonic hernia through the esophageal hiatus. Diseases of the Esophagus 2005;18:283-6.
Curtis D J, Brenza S J. Isolated herniation of the colon through the esophageal hiatus: case report. Mil Med 1984;149:515-8.
Felsher J A, Brodsky J, Brody F. Isolated trans-hiatal colonic her- niation. J Laparoendosc Adv Surg Tech 2003;13:105-8.
Itabashi Y, Baba T, Kato S. A case of esophageal hiatal hernia with incarcerated transverse colon. Jpn J Gastroenterol Surg 2004; 37:479-82.
Slone RM, Gierada DS Pleura, chest wall, and diaphragm. In: Lee JKT, Sagel SS, Stanley RJ and Heiken JP, editors. Computed Body Tomography with MRI Correlation. 3rd ed. New York: Lippincott- Raven; 1998. p. 455-520.