Hiatus Hernia: A Rare Cause of Acute Pancreatitis.
Publication/Presentation Date
1-1-2016
Abstract
Hiatal hernia (HH) is the herniation of elements of the abdominal cavity through the esophageal hiatus of the diaphragm. A giant HH with pancreatic prolapse is very rare and its causing pancreatitis is an even more extraordinary condition. We describe a case of a 65-year-old man diagnosed with acute pancreatitis secondary to pancreatic herniation. In these cases, acute pancreatitis may be caused by the diaphragmatic crura impinging upon the pancreas and leading to repetitive trauma as it crosses the hernia; intermittent folding of the main pancreatic duct; ischemia associated with stretching at its vascular pedicle; or total pancreatic incarceration. Asymptomatic hernia may not require any treatment, while multiple studies have supported the recommendation of early elective repair as a safer route in symptomatic patients. In summary, though rare, pancreatic herniation should be considered as a cause of acute pancreatitis. A high index of suspicion for complications is warranted in cases like these.
Volume
2016
First Page
2531925
Last Page
2531925
ISSN
1687-9627
Published In/Presented At
Patel, S., Shahzad, G., Jawairia, M., Subramani, K., Viswanathan, P., & Mustacchia, P. (2016). Hiatus Hernia: A Rare Cause of Acute Pancreatitis. Case reports in medicine, 2016, 2531925. https://doi.org/10.1155/2016/2531925
Disciplines
Medicine and Health Sciences
PubMedID
27066077
Department(s)
Department of Medicine
Document Type
Article