2020
DOI: 10.1186/s40792-020-0773-8
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Massive hiatal hernia involving prolapse of the entire stomach and pancreas resulting in pancreatitis and bile duct dilatation: a case report

Abstract: Background: Hiatal hernia is defined by the permanent or intermittent prolapse of any abdominal structure into the chest through the diaphragmatic esophageal hiatus. Prolapse of the stomach, intestine, transverse colon, and spleen is relatively common, but herniation of the pancreas is a rare condition. We describe a case of acute pancreatitis and bile duct dilatation secondary to a massive hiatal hernia of pancreatic body and tail. Case presentation: An 86-year-old woman with hiatal hernia who complained of e… Show more

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Cited by 14 publications
(27 citation statements)
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“…Diaphragmatic hernias can be congenital, hiatal, or traumatic in origin, and they are defined by a transitory or persistent migration of abdominal contents into the thoracic cavity through a diaphragmatic defect [6] . with the exception of the stomach, the small intestine, spleen, and transverse colon are the organs least prone to hernias [1] . Because the head segment of the pancreas and duodenum are positioned in the retroperitoneum and held by Treitz' ligament, pancreatic herniation is extremely rare [3] .…”
Section: Discussionmentioning
confidence: 99%
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“…Diaphragmatic hernias can be congenital, hiatal, or traumatic in origin, and they are defined by a transitory or persistent migration of abdominal contents into the thoracic cavity through a diaphragmatic defect [6] . with the exception of the stomach, the small intestine, spleen, and transverse colon are the organs least prone to hernias [1] . Because the head segment of the pancreas and duodenum are positioned in the retroperitoneum and held by Treitz' ligament, pancreatic herniation is extremely rare [3] .…”
Section: Discussionmentioning
confidence: 99%
“…Pancreatic herniation is a rare occurrence, with just 12 cases reported to date [3] . As a result of this mechanism, acute pancreatitis is extremely unusual, having been recorded in only 14 people previously [1] .…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…When the patient is lying on their right side and performing Valsalva maneuvers, the increase of abdominal pressure will reduce the anti-reflux mechanism, which makes it easier to observe the situation of reflux. Because some small hernias or sliding hernias are often asymptomatic or manifest atypical symptoms and intermittent episodes, they are easily interfered by subjective factors, and thus routine ultrasound, X-ray radiography, endoscopy, and esophageal manometry are not readily able to facilitate a diagnosis[ 30 ]. For such patients, CEUS with the oral agent mixture can make up for the deficiencies of these routine examinations and can be beneficial for evaluation of small hernias and sliding hernias.…”
Section: Discussionmentioning
confidence: 99%
“…Hiatal hernias are characterized by the prolapse of abdominal contents, mainly the stomach and abdominal viscera, into the mediastinum or thoracic cavity through the hiatal orifice. 1 Hiatal hernia and esophageal dilatation sometimes coexist and are reported as predisposing factors for aspiration pneumonia. 2 Surgical intervention is indicated for hiatal hernia when the patient is symptomatic.…”
Section: Answer To: Image 3 (Page 427): Esophageal Dilatation and Hiatal Herniamentioning
confidence: 99%