In human anatomy, the esophageal hiatus is an opening in the

diaphragm Diaphragm may refer to: Anatomy * Thoracic diaphragm, a thin sheet of muscle between the thorax and the abdomen * Pelvic diaphragm or pelvic floor, a pelvic structure * Urogenital diaphragm or triangular ligament, a pelvic structure Other * Diap ...

through which the

esophagus The esophagus (American English) or oesophagus (British English; both ), non-technically known also as the food pipe or gullet, is an organ in vertebrates through which food passes, aided by peristaltic contractions, from the pharynx to t ...

and the

vagus nerve The vagus nerve, also known as the tenth cranial nerve, cranial nerve X, or simply CN X, is a cranial nerve that interfaces with the parasympathetic control of the heart, lungs, and digestive tract. It comprises two nerves—the left and righ ...

pass.

Structure

It is located in the right

crus Crus can refer to: *''Crus'', a subgenus of the fly genus '' Metopochetus'' *Crus (lower leg) *Crus, a plural of Cru (wine) *CRUs, an abbreviation of Civil Resettlement Units * Rektorenkonferenz der Schweizer Universitäten (CRUS; English: Recto ...

, one of the two tendinous structures that connect the

to the

spine Spine or spinal may refer to: Science Biology * Vertebral column, also known as the backbone * Dendritic spine, a small membranous protrusion from a neuron's dendrite * Thorns, spines, and prickles, needle-like structures in plants * Spine (zoolo ...

. Fibers of the right crus cross one another below the hiatus. It is located approximately at level of the

tenth thoracic vertebra In vertebrates, thoracic vertebrae compose the middle segment of the vertebral column, between the cervical vertebrae and the lumbar vertebrae. In humans, there are twelve thoracic vertebrae and they are intermediate in size between the cervical ...

( T10) and the 8th or 9th

intercostal spaces The intercostal space (ICS) is the anatomic space between two ribs (Lat. costa). Since there are 12 ribs on each side, there are 11 intercostal spaces, each numbered for the rib superior to it. Structures in intercostal space * several kind ...

. The esophageal hiatus is situated in the muscular part of the diaphragm at the level of the tenth thoracic vertebra, and is elliptical in shape. It is placed superior, anterior, and slightly left of the aortic hiatus, and transmits the esophagus, the vagus nerve, the left inferior phrenic vessels, and some small esophageal arteries from left gastric vessels. The right crus of the diaphragm loops around forming a sling around the esophagus. Upon

inspiration Inspiration, inspire, or inspired often refers to: * Artistic inspiration, sudden creativity in artistic production * Biblical inspiration, the doctrine in Judeo-Christian theology concerned with the divine origin of the Bible * Creative inspirat ...

, this sling would constrict the esophagus, forming a functional (not anatomical) sphincter that prevents stomach contents from refluxing up the esophagus when intra-abdominal pressure rises during inspiration.

Clinical significance

Hiatal hernia A hiatal hernia or hiatus hernia is a type of hernia in which abdominal organs (typically the stomach) slip through the diaphragm into the middle compartment of the chest. This may result in gastroesophageal reflux disease (GERD) or laryngop ...

occurs when part of the stomach passes through the esophageal hiatus.

References

External links

* - "Major Openings in the Diaphragm" {{Authority control Thoracic diaphragm

Structure

Clinical significance

See also

References

External links