Acute pancreatitis and gastric volvulus occurring in a congenital diaphragmatic hernia

Oliver, Matthew J.; Wilson, Anna; Kapila, L.

doi:10.1016/0022-3468(90)90516-c

Cited by 39 publications

(34 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This posterolateral diaphragmatic or Bochdalek defect allows the intra-abdominal viscera to enter the thoracic cavity. 2 Most of the reported cases involved the left side. In our patient, the defect included the lumbodorsal space of the diaphragm and extended anteriorly, affecting nearly half of the hemidiaphragmatic space.…”

Section: Discussionmentioning

confidence: 97%

Congenital Diaphragmatic Hernia Complicated by Tension Gastrothorax During Gastroscopy: Report of a Case

et al. 2005

View full text Add to dashboard Cite

Bochdalek's hernia typically manifests early in childhood, but it is uncommon in adults. We report the case of a 77-year-old woman who suffered sudden acute cardiorespiratory distress during an upper gastro-intestinal endoscopy, caused by a massive gastrothorax, confirmed by a chest radiograph and thoracic computed tomography. Laparotomy revealed a posterolateral diaphragmatic defect and an acutely distended stomach occupying the left hemithorax, caused by an incomplete organoaxial volvulus of the organ. The stomach was reduced and secured inside the abdominal cavity by a Nissen fundoplication and the defect was repaired with interrupted sutures. Unfortunately, the patient succumbed to generalized sepsis resulting from Pneumocystis carinii bilateral pneumonia. To our knowledge, this is the first reported case in the English literature of an adult with a congenital posterolateral hernia presenting in this manner. However, it demonstrates that a symptomatic congenital diaphragmatic hernia should be surgically repaired to prevent the numerous complications that may arise, many of which can prove fatal even in an adult.

show abstract

Section: Discussionmentioning

confidence: 97%

Congenital Diaphragmatic Hernia Complicated by Tension Gastrothorax During Gastroscopy: Report of a Case

et al. 2005

View full text Add to dashboard Cite

show abstract

“…Table 1 [3,[7][8][9][10][11][12][13][14][15] lists the cases of acute pancreatitis from pancreatic herniation in hiatal hernias from published literature. All cases were diagnosed based on exclusion of other etiologies for acute pancreatitis.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Pancreatitis From Pancreatic Herniation

Mudroch

Chen

et al. 2018

J Med Cases

View full text Add to dashboard Cite

Acute pancreatitis is a commonly encountered condition, and proper workup requires evaluation for underlying causes such as gallstones, alcohol, hypertriglyceridemia, trauma, and medications. We present a case of pancreatitis due to a rare etiology: pancreatic herniation in the context of a type IV hiatal hernia which involves displacement of the stomach with other abdominal organs into the thoracic cavity.

show abstract

“…Although in our patient there was no episode of acute pancreatitis, previously reported patients who had symptoms or laboratory data related to acute pancreatitis developed postoperative complications owing to intestinal obstruction during observation in the intensive care unit. [1][2][3][4][5][6][7][8] The mechanism of acute pancreatitis in these situations may be due to repetitive trauma as the pancreas crosses the hernia, ischemia associated with stretching or compression of the vascular pedicle, or intermittent folding of the main pancreatic duct. 9 These mechanisms often lead to critical conditions that can result in high morbidity and mortality.…”

Section: Discussionmentioning

confidence: 99%

“…Paraesophageal hiatal hernias (PHHs) represent only 5% of all hiatal hernias, 1 but they are often associated with several complications such as intestinal obstruction 2,3 or gastric voluvulus. 4 Although paraesophageal hernia associated with incarceration of the pancreas is rare, it can lead to critical acute pancreatitis. 1,2,4,5 We present, to our knowledge, the first report of successful laparoscopic treatment of a PHH associated with incarceration of the pancreas and jejunum.…”

mentioning

confidence: 99%

Laparoscopic Treatment of Paraesophageal Hiatal Hernia With Incarceration of the Pancreas and Jejunum

Tagaya

Tachibana

Kijima

et al. 2007

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

View full text Add to dashboard Cite

We present a successful laparoscopic treatment of paraesophageal hiatal hernia with an incarceration of the pancreas and jejunum. The patient was a 75-year-old woman who had complaints of epigastric pain and dysphasia. A chest x-ray revealed a mediastinal air-fluid level. Chest computed tomography showed intestinal contents, body and tail of the pancreas, and the splenic artery within the mediastinum. At laparoscopy, jejunum was incarcerated into the mediastinal cavity through the internal hernia of transverse mesocolon. Body and tail of the pancreas and the splenic artery were also dislocated within the hernia sac. The operation time took 115 minutes. The patient tolerated a regular diet on the first postoperative day and was discharged uneventfully. There were no recurrence or abdominal symptoms during the 29-month follow-up period. In the case of asymptomatic paraesophageal hiatal hernia with incarcerating pancreas on diagnostic imagings, elective surgical treatment is required to prevent a critical outcome.

show abstract

Acute pancreatitis and gastric volvulus occurring in a congenital diaphragmatic hernia

Cited by 39 publications

References 3 publications

Congenital Diaphragmatic Hernia Complicated by Tension Gastrothorax During Gastroscopy: Report of a Case

Congenital Diaphragmatic Hernia Complicated by Tension Gastrothorax During Gastroscopy: Report of a Case

A Rare Case of Pancreatitis From Pancreatic Herniation

Laparoscopic Treatment of Paraesophageal Hiatal Hernia With Incarceration of the Pancreas and Jejunum

Contact Info

Product

Resources

About