Diagnosis and surgical treatment of intrathoracic omental herniation through the esophageal hiatus

作     者：YU Ce-yan NI Yi-ming 

作者机构：Department of Cardiothoracic Surgery First Affiliated HospitalZhejiang University School of Medicine Hangzhou Zhejiang310000 China 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2013年第126卷第1期

页      面：194-195页

核心收录：

学科分类：07[理学] 081302[工学-建筑设计及其理论] 08[工学] 0813[工学-建筑学] 070202[理学-粒子物理与原子核物理] 0702[理学-物理学] 

主　　题：omentum hernia computerized tomography thoracotomy 

摘      要：A59-year-old man was admitted to our hospital for .further examination of an abnormal shadow whichappeared on his chest X-ray. A postero-anterior view of his chest X-ray demonstrated a large, sharply defined mass. The mass measured about 10 cm in diameter with a smooth outline （Figure 1A）. The patient was asymptomatic, without abnormal physical or laboratory findings. The contrast enhanced CT examination showed that a mass in the inferior posterior mediastinum was located between the heart and thoracic vertebra. No herniation of the stomach or intestines into the thorax was found （Figure 1C）. Fine branching linear strands were evident in the mass which was considered to be the branches of the gastroepiploic artery. During the enhanced phase, we could also see gastroepiploic artery passing though the esophageal hiatus （Figure 1D）. The density of the mass was about-115 to -120 Hounsfield units, which was in the range of fatty tissue. Our primary diagnosis of the mass was intrathoracic omental herniation through the esophageal hiatus.