Incidental Finding of Paraesophageal Hernia on Hepatobiliary Imaging

A 78-year-old woman with a 2-year history of early satiety and vague abdominal pain underwent hepatobiliary scanning for evaluation of possible sphincter of Oddi or gallbladder dysfunction. The scan unexpectedly demonstrated activity within the thorax on delayed imaging, which suggested intrathoraci...

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Bibliographic Details
Published in:Clinical nuclear medicine 1996-02, Vol.21 (2), p.145-146
Main Authors: JAIN, KIREN S, LUXON, BRUCE A, GOODGOLD, HENRY M
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Digestion. Liver. Biliary tract. Spleen. Pancreas
Female
Gallbladder - diagnostic imaging
Hernia, Hiatal - diagnostic imaging
Humans
Imino Acids
Investigative techniques, diagnostic techniques (general aspects)
Liver - diagnostic imaging
Medical sciences
Organotechnetium Compounds
Radionuclide Imaging
Radionuclide investigations
Sphincter of Oddi - diagnostic imaging
Technetium Tc 99m Disofenin
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Description
Summary:A 78-year-old woman with a 2-year history of early satiety and vague abdominal pain underwent hepatobiliary scanning for evaluation of possible sphincter of Oddi or gallbladder dysfunction. The scan unexpectedly demonstrated activity within the thorax on delayed imaging, which suggested intrathoracic herniation of bowel or stomach. A follow-up upper gastrointestinal series confirmed a paraesophageal hernia. This case report illustrates a most unusual finding on hepatobiliary scanning that helped to diagnose paraesophageal hernia.
ISSN:0363-9762
1536-0229
DOI:10.1097/00003072-199602000-00016