Diagnostic challenges of hiatal hernia Type IV: An imaging perspective

Q4 Medicine

Radiology Case Reports Pub Date : 2024-10-30 DOI:10.1016/j.radcr.2024.09.147

Harry Galuh Nugraha , Maria Agustina , Heda Melinda Nataprawira

引用次数: 0

Abstract

Type IV hiatal hernia is a mixed type of hiatal hernia characterized by the herniation of visceral organs other than the stomach into the mediastinum. It is the least common type of hiatal hernia. We report a case of a 4-month-old male infant who presented with shortness of breath and persistent vomiting. Initial chest X-ray suggested a mediastinal mass, but further evaluation with chest computed tomography (CT) scan revealed herniation of the stomach and duodenum through the hiatal oesophagus into the thoracic cavity. Radiological imaging was crucial in confirming the diagnosis of hiatal hernia.

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食管裂孔疝 IV 型的诊断难题：影像学视角

IV 型食管裂孔疝是一种混合型食管裂孔疝，特点是胃以外的内脏器官疝入纵隔。它是食管裂孔疝中最不常见的类型。我们报告了一例 4 个月大的男婴病例，他出现呼吸急促和持续呕吐。最初的胸部 X 光检查提示纵隔肿块，但胸部计算机断层扫描（CT）的进一步评估显示，胃和十二指肠通过食道裂孔疝入胸腔。放射成像对确诊食管裂孔疝至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.