Banimostafavi Elham Sadat, Tayebi Maryam
Radiology Department, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran.
Ann Med Surg (Lond). 2018 Feb 22;28:20-22. doi: 10.1016/j.amsu.2018.02.006. eCollection 2018 Apr.
A hiatal hernia can be classified as one of four types according to the position of the gastroesophageal (GE) junction and the extent of herniated stomach. Type IV paraesophageal hiatal hernia (PEHH) is characterized by a large defect in the diaphragmatic hiatus that allows other organs, besides stomach, such as the colon, pancreas, spleen, or small intestine to herniate into the thorax. Herniation of the pancreas through a gastroesophageal hiatus is a rare condition, and only a few cases have been reported in the literature.
We present a case of an asymptomatic patient with paraesophageal herniation along with the body and tail of the pancreas.
However, surgery is optimal choice for symptomatic patients, it is important for surgeons to consider the risks of different approaches and choose the best intervention.
根据胃食管（GE）交界处的位置和胃疝出的程度，食管裂孔疝可分为四种类型之一。IV型食管旁裂孔疝（PEHH）的特征是膈肌裂孔存在大的缺损，除胃之外，还允许其他器官，如结肠、胰腺、脾脏或小肠疝入胸腔。胰腺通过胃食管裂孔疝出是一种罕见情况，文献中仅报道了少数病例。
我们报告一例无症状患者，其胰腺体尾部伴有食管旁疝出。
然而，对于有症状的患者，手术是最佳选择，外科医生考虑不同手术方式的风险并选择最佳干预措施很重要。
