Henkinbrant A, Decoster O, Farchakh E, Khalek W
Acta Gastroenterol Belg. 1989 Sep-Dec;52(5-6):441-7.
A 65 year old woman, who had a giant umbilical hernia since more than 30 years, was admitted for a transitory cerebrovascular ischemia. During her stay, she presented an episode of acute pancreatitis localized in the head of the pancreas. All current causes of acute pancreatitis were ruled out, especially alcoholism and gallstones. Endoscopic retrograde cholangio-pancreatography performed in the patient lying on the left side demonstrated localization of the antrum and the duodenum with the head of the pancreas into the umbilical hernia. It seems clear that the giant umbilical hernia caused a progressive and intermittent passage of the head of the pancreas through chronic traction on the ligament of Treitz and acute pancreatitis by incarceration. At our knowledge, this mechanical cause of acute pancreatitis was not yet described in the literature.
一名65岁女性，患有巨大脐疝已逾30年，因短暂性脑血管缺血入院。住院期间，她出现了一例位于胰头的急性胰腺炎发作。所有当前已知的急性胰腺炎病因均被排除，尤其是酗酒和胆结石。在患者左侧卧位时进行的内镜逆行胰胆管造影显示胃窦、十二指肠以及胰头均位于脐疝内。很明显，巨大脐疝通过对Treitz韧带的慢性牵拉以及嵌顿导致胰头逐渐间歇性进入疝内，进而引发急性胰腺炎。据我们所知，这种急性胰腺炎的机械性病因在文献中尚未有描述。
