Massive hiatus hernia complicated by jaundice.
Ruelan V Furtado1, Trevor J D'Netto2, Henry C Hook3
1Upper GI Surgery, Concord Repatriation General Hospital, Concord, Australia.
Journal of Surgical Case Reports
|August 7, 2015
Summary
Giant para-oesophageal hernia can involve the pancreas, leading to complications and jaundice. Laparoscopic repair is an effective and lasting treatment option, with magnetic resonance cholangiopancreatography aiding diagnosis.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Giant para-oesophageal hernia (GPOH) is a rare condition where abdominal organs protrude into the chest cavity.
- Pancreatic involvement in GPOH is uncommon but can lead to significant complications.
Observation:
- This case highlights a giant para-oesophageal hernia involving the pancreas.
- The patient presented with pancreatic complications and jaundice, indicative of biliary obstruction.
Findings:
- Magnetic resonance cholangiopancreatography (MRCP) proved diagnostic for identifying the pancreatic and biliary abnormalities.
- Laparoscopic repair of the GPOH was successfully performed, demonstrating feasibility and durability.
Implications:
- Laparoscopic repair offers a minimally invasive and effective approach for GPOH with pancreatic complications.
- Early and accurate diagnosis using advanced imaging like MRCP is crucial for appropriate management.
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