Large hiatal hernia with pancreatic body herniation: Case-report
Elham Sadat Banimostafavi1, Maryam Tayebi1
1Radiology Department, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran.
Annals of Medicine and Surgery (2012)
|May 11, 2018
Summary
Type IV paraesophageal hiatal hernia (PEHH) involves herniation of organs like the pancreas into the chest. This case report details a rare instance of pancreatic herniation, emphasizing surgical considerations for patients.
Area of Science:
- Gastroenterology
- Thoracic Surgery
- Surgical Case Reports
Background:
- Hiatal hernias are classified into four types based on gastroesophageal junction position and stomach herniation.
- Type IV paraesophageal hiatal hernia (PEHH) involves large diaphragmatic defects, allowing organs beyond the stomach to herniate into the thorax.
Observation:
- This report presents a case of an asymptomatic patient with paraesophageal herniation.
- The herniation included the body and tail of the pancreas.
Findings:
- Pancreatic herniation through the gastroesophageal hiatus is exceptionally rare, with few documented cases.
- This case highlights a rare manifestation of Type IV PEHH.
Implications:
- While surgery is optimal for symptomatic PEHH, careful consideration of surgical approaches is crucial.
- Understanding rare presentations like pancreatic herniation informs surgical planning and risk assessment.
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