Boyce Kathryn, Campbell William, Taylor Mark
Department of Hepatobiliary Surgery, Belfast Trust, Mater Hospital, Belfast, Northern Ireland.
Clin Med Insights Case Rep. 2014 Mar 11;7:25-7. doi: 10.4137/CCRep.S13079. eCollection 2014.
This is a rare case report of acute pancreatitis secondary to a massive incarcerated paraoesophageal hernia. The pathogenesis resulted from obstruction of the distal pancreatic duct after displacement of the pancreatic head and body into the thorax as part of a Type IV paraoesophageal hernia. Although this condition is rare, the patient made steady progress following laparotomy and open repair of hernia. She made a good recovery after prompt therapy, therefore, this report can be a guide to the diagnosis and treatment of similar conditions.
这是一例罕见的因巨大嵌顿性食管旁疝继发急性胰腺炎的病例报告。发病机制是作为IV型食管旁疝的一部分，胰头和胰体移位至胸腔后导致远端胰管梗阻。尽管这种情况罕见，但患者在剖腹手术和疝修补术后病情稳步好转。经过及时治疗，她恢复良好，因此，本报告可为类似病症的诊断和治疗提供指导。
