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A hiatal hernia or hiatus hernia [2] is a type of hernia in which abdominal organs (typically the stomach) slip through the diaphragm into the middle compartment of the chest. [1] [3] This may result in gastroesophageal reflux disease (GERD) or laryngopharyngeal reflux (LPR) with symptoms such as a taste of acid in the back of the mouth or heartburn.
FIGURE 3. Axial (left) and coronal (right) CT angiography images of the abdominal aorta evaluating for aortic aneurysm. [citation needed] CT angiography (CTA) is highly effective for evaluation of the arterial system, and has largely replaced conventional angiography due to the lower risk profile and ability to survey the entire abdomen.
Gary Gygax, co-creator of Dungeons & Dragons, died from an abdominal aortic aneurysm in 2008, at the age of 69. Harvey Korman died on May 29, 2008, aged 81, at UCLA Medical Center as the result of complications from a ruptured abdominal aortic aneurysm he had suffered four months earlier. He is interred at Santa Monica's Woodlawn Cemetery.
The abdominal aorta begins at the level of the diaphragm, crossing it via the aortic hiatus, technically behind the diaphragm, at the vertebral level of T12. [1] It travels down the posterior wall of the abdomen, anterior to the vertebral column. It thus follows the curvature of the lumbar vertebrae, that is, convex anteriorly.
For this purpose, the standard aortic measurement for abdominal aortic aneurysm is between the outer margins of the aortic wall. [ 4 ] In cases of infectious mononucleosis , splenomegaly is a common symptom, and health care providers may consider using abdominal ultrasonography to get insight into a person's condition. [ 5 ]
Aortic aneurysms are often encountered during an X-ray, ultrasound, or echocardiogram done for other reasons. [3] IAA may also be found during a routine physical exam by feeling for bulges in the abdominal area. If an aortic aneurysm is suspected, medical history will be considered along with a physical examination.
The aortic hiatus is a midline [1]: 185 opening in the posterior part of the diaphragm giving passage to the descending aorta as well as the thoracic duct, and variably the azygos and hemiazygos veins. [2] It is the lowest and most posterior of the large apertures. [citation needed]
Aortic rupture is a rare, extremely dangerous condition that is considered a medical emergency. [1] The most common cause is an abdominal aortic aneurysm that has ruptured spontaneously. Aortic rupture is distinct from aortic dissection , which is a tear through the inner wall of the aorta that can block the flow of blood through the aorta to ...
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