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Revista Colombiana de Cirugía
Print version ISSN 2011-7582On-line version ISSN 2619-6107
Abstract
GONZALEZ-BENJUMEA, Paz; PINO, Beatriz García del; RODRIGUEZ-PADILLA, Ángela and BALONGO-GARCIA, Rafael. Acute necrotizing pancreatitis secondary to complicated grade IV hiatal hernia: A case report and literature review. rev. colomb. cir. [online]. 2022, vol.37, n.1, pp.146-150. Epub Mar 22, 2022. ISSN 2011-7582. https://doi.org/10.30944/20117582.882.
Introduction.
In type IV paraesophageal hernias, the stomach is herniated along with other abdominal organs. Herniation of the pancreas is very rare.
Clinical case.
A 57-year-old man presented with chest pain, dyspnea, and intolerance to decubitus. The thoracoabdominal computed tomography shows a diaphragmatic hernia containing the transverse colon, small intestine and pancreas, with reticulation of fat around it, compatible with acute pancreatitis.
Conclusion.
The association of hiatal hernia with herniated pancreas and pancreatitis is extremely rare. The diagnosis was established by computerized tomography and the treatment was conservative, with delayed surgery for the hiatal hernia.
Keywords : hiatal hernia; pancreas; pancreatitis; acute necrotizing pancreatitis; surgery; pancreatectomy.
