Caldeiro J C, Curcio A, Gigena V C, Barbarosa G
Departments of Surgery and Gastroenterology, Army Central Hospital, Luis María Campos 726, (C1426BOR) Buenos Ares, Argentina.
Acta Gastroenterol Latinoam. 2001 Oct;31(4):329-32.
Large diaphragmatic hernias are rare causes of common bile duct strictures. We report a case of mixed (slide and paraesophageal) hiatal hernia with jaundice due to choledochal dislodgment and torsion. The first time we named this entity choledochal semi volvulus. Its pathophysiology is analyzed and we remark the wise and accurate percutaneous management as diagnostic and initial therapeutic resources.
巨大膈疝是胆总管狭窄的罕见病因。我们报告一例因胆总管移位和扭转导致黄疸的混合型（滑动型和食管旁型）食管裂孔疝病例。我们首次将此病症命名为胆总管半扭转。分析了其病理生理学，并强调了明智且准确的经皮处理作为诊断和初始治疗手段的重要性。
