Can a hernia be missed on CT scan if it's small?

Question

I went in for a CT scan in regards to my hernias. The CT scan showed a tiny umbilical hernia. I am an outtie now. I also have DR and well aware of what it has done to by body...the back pain, bloat, etc. I use to have 4-5 finger width and now I am down to 2 finger width. I think I have a hernia either hiatal or esophagus hernia. The general surgeon did not feel nor did it show on CT scan. It pulsates daily and bulges weekly. It's very painful. Is it possible the CT scan missed it?

Mariam Awada, MD, FACS · Answer

There are many types of hernias which you named a few all of which are unrelated and have different causes and treatment.  Have a meeting with your general surgeon to dos us your symptoms and address your concerns.

Joubin Gabbay, MD · Answer

I don't entirely understand type of hernia you are concerned about. It is clear that you have an umbilical hernia. It is clear that you have a diet stasis that has fortunately been reducing in size. If you're concerned about hiatal / esophageal hernia, CT scan can sometimes show it, though not always. In general the most accurate diagnosis will be made through endoscopy or other G.I. evaluation Area I recommend you seek that type of advice if you're concerned for it. I wish you the best. Dr. Gabbay.

Robert Frank, MD · Answer

Most CT scans have a resolution of about a cm. Very small defects could be missed or through signal averaging not read as a hernia. Your surgeon will be able to tell at surgery if a true defect is present. Good luck.

Sugene Kim, MD, FACS · Answer

Hi, Steph5432.  If a hernia is very small, it can be missed by CT scan.  However, hiatal hernia or esophageal hernia is more of functional problem; it may not be detected on CT scan.  If you have chest pain or reflux due to hiatal hernia/esophageal hernia, you need to consult a GI physician.  Best regards.

Can a hernia be missed on CT scan if it's small?

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