Patient's question:
I am 34 years old. Recently, for some reason, I have been feeling nauseous and wanting to vomit. My stomach has been, sometimes with symptoms of heartburn and acid reflux. I went to the hospital, and it was fine for a while, but then it started again. Please ask about the CT manifestations of hiatal hernia.Doctor's answer:
Hiatal hernia is a factor resulting from the developmental abnormality of the esophageal hiatus. Hiatal hernia is more common in patients over 40 years old, gradually expanding with the esophageal hiatus. Actions such as coughing or holding breath while in a supine position can increase intra-abdominal pressure, reducing the size of the heart and upper stomach through the esophageal hiatus, along with the esophageal ligament of the diaphragm, leading to weakness in the posterior and superior mediastinum. CT imaging shows no stomach in the abdominal cavity. In the thoracic cavity, the left-sided hollow organ weakens and pushes the left lung, causing left lung dysfunction. Severe cases may lead to mediastinal displacement to the right.