Zackria Rasiq, Popa Alina
Internal Medicine Residency, Graduate Medical Education, Riverside Community Hospital/University of California, Riverside School of Medicine, Riverside, CA.
ACG Case Rep J. 2019 Aug 14;6(8):e00156. doi: 10.14309/crj.0000000000000156. eCollection 2019 Aug.
Hiatal translocation of the pancreas is rare because of its retroperitoneal location. Acute pancreatitis as a complication of hiatal hernia is uncommon. A 33-year-old man presented for 2 days of worsening epigastric abdominal pain and substernal chest pain. Laboratory studies were essentially unremarkable; however, computed tomography demonstrated a large right-sided hiatal hernia containing the entire stomach and the body of the pancreas, with peripancreatic edema consistent with pancreatitis. Most cases can be managed conservatively; however, elective surgical repair is suggested in severe cases or patients with low surgical risk.
由于胰腺位于腹膜后，胰腺的食管裂孔移位很少见。食管裂孔疝并发急性胰腺炎并不常见。一名33岁男性因上腹部疼痛和胸骨后胸痛加重2天前来就诊。实验室检查基本无异常；然而，计算机断层扫描显示一个巨大的右侧食管裂孔疝，包含整个胃和胰腺体部，胰腺周围水肿符合胰腺炎表现。大多数病例可保守治疗；然而，对于严重病例或手术风险低的患者，建议进行择期手术修复。
