Hernia Research Today is a free monthly online journal that collates and summarizes the latest research about Hernia, including details on hiatal, inguinal, umbilical, abdominal, treatment.

Echocardiographic aspects of hiatal hernia: A review.

Khouzam RN, Akhtar A, Minderman D, Kaiser J, D'Cruz IA

Department of Cardiovascular Diseases, University of Tennessee Health Science Center and Memphis VA Medical Center, 1030 Jefferson Avenue, Memphis, TN 38104, USA.

It was realized 20 years ago that the sonographic appearance of a diaphragmatic hernia could simulate a left atrial mass. Many papers have appeared on this topic since then, but they mainly consist of single case reports. Clinical symptoms due to cardiac compression by the hernia are uncommon but may occur if the hernia is very large; such patients have presented with episodes of syncope or dyspnea, typically after a large meal. Sonographers, cardiologists, gastroenterologists, and internists are generally not yet aware that sonographic presentations can be varied and are often perplexing. These include the combination of hiatal hernia with gastroesophageal reflux demonstrable in the subcostal view, and hiatal hernia in patients with ascites.

Published 10 April 2007 in J Clin Ultrasound, 35(4): 196-203.
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