Michael G. Scheidler, MD, Robert J. Keenan, MD, Richard H

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Presentation transcript:

“True” parahiatal hernia: a rare entity radiologic presentation and clinical management Michael G. Scheidler, MD, Robert J. Keenan, MD, Richard H. Maley, MD, Robert J. Wiechmann, MD, Dennis Fowler, MD, Rodney J. Landreneau, MD The Annals of Thoracic Surgery Volume 73, Issue 2, Pages 416-419 (February 2002) DOI: 10.1016/S0003-4975(01)03373-2

Fig 1 Posterior-anterior chest roentgenogram demonstrating intrathoracic air fluid level to the left of the midline. The Annals of Thoracic Surgery 2002 73, 416-419DOI: (10.1016/S0003-4975(01)03373-2)

Fig 2 Lateral chest roentgenogram demonstrating the posterior mediastinal air fluid level within the posterior mediastinum consistent with an incarcerated intrathoracic stomach. The Annals of Thoracic Surgery 2002 73, 416-419DOI: (10.1016/S0003-4975(01)03373-2)

Fig 3 Laparoscopic view of the esophageal hiatus and the lateral parahiatal defect in the diaphragm after hernia sac excision and hiatal dissection. The Annals of Thoracic Surgery 2002 73, 416-419DOI: (10.1016/S0003-4975(01)03373-2)

Fig 4 Oblique view of barium esophagram demonstrating band of crural musculature between the distal esophagus and the herniated stomach. The Annals of Thoracic Surgery 2002 73, 416-419DOI: (10.1016/S0003-4975(01)03373-2)

Fig 5 Lateral image from barium contrast study of the stomach from the second patient demonstrating small-necked hernia defect in the diaphragm independent of the esophageal hiatus. The Annals of Thoracic Surgery 2002 73, 416-419DOI: (10.1016/S0003-4975(01)03373-2)