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胸腔内胰腺患者的腹腔镜食管裂孔疝修补术：病例系列及文献综述

Laparoscopic Hiatal Hernia Repair in Patients with an Intrathoracic Pancreas: Case Series and a Review of Literature.

作者信息

Tolboom Robert C, Wijsman Paul J, Broeders Ivo, Draaisma Werner A

机构信息

Surgery, Meander Medical Center, Amersfoort, NLD.

Anesthesiology, Radboud University Medical Center (Radboudumc), Nijmegen, NLD.

出版信息

Cureus. 2020 Feb 28;12(2):e7125. doi: 10.7759/cureus.7125.

DOI:10.7759/cureus.7125
PMID:32257671
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7105072/
Abstract

Transhiatal herniation of the pancreas is rare with only 17 cases reported in 25 years. Presentation of pancreatic herniation is diverse. In the majority of cases, the pancreatic herniation is found incidentally on CT-scans made for evaluating complaints related to a large or giant hiatal hernia. We present a literature review and case series of three patients with symptomatic type IV hiatal hernia with incidental, asymptomatic pancreatic herniation. All cases were managed laparoscopically with robotic assistance.

摘要

胰腺经裂孔疝极为罕见，25年间仅有17例报道。胰腺疝的表现多样。在大多数情况下，胰腺疝是在为评估与大型或巨型食管裂孔疝相关的主诉而进行的CT扫描中偶然发现的。我们进行了一项文献综述并报告了3例有症状的IV型食管裂孔疝合并偶然发现的无症状胰腺疝的病例系列。所有病例均在机器人辅助下通过腹腔镜进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cd5/7105072/db94096b335e/cureus-0012-00000007125-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cd5/7105072/75bb5558b9eb/cureus-0012-00000007125-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cd5/7105072/8f3c70d3afc8/cureus-0012-00000007125-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cd5/7105072/db94096b335e/cureus-0012-00000007125-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cd5/7105072/75bb5558b9eb/cureus-0012-00000007125-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cd5/7105072/8f3c70d3afc8/cureus-0012-00000007125-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cd5/7105072/db94096b335e/cureus-0012-00000007125-i03.jpg

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本文引用的文献

1
Massive hiatus hernia complicated by jaundice.巨大裂孔疝合并黄疸
J Surg Case Rep. 2015 Jul 28;2015(7):rjv087. doi: 10.1093/jscr/rjv087.
2
Education and imaging. Gastroenterology: Diaphragmatic herniation and pancreatitis.教育与影像学。胃肠病学：膈疝与胰腺炎。
J Gastroenterol Hepatol. 2015 Apr;30(4):653. doi: 10.1111/jgh.12880.
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Asymptomatic transhiatal pancreatic herniation after oesophagectomy.食管切除术后无症状经裂孔胰腺疝
J Clin Diagn Res. 2014 Oct;8(10):ND24-5. doi: 10.7860/JCDR/2014/9881.5017. Epub 2014 Oct 20.
4
Acute pancreatitis secondary to an incarcerated paraoesophageal hernia: a rare cause for a common problem.嵌顿性食管旁疝继发急性胰腺炎：常见问题的罕见病因。
Clin Med Insights Case Rep. 2014 Mar 11;7:25-7. doi: 10.4137/CCRep.S13079. eCollection 2014.
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Pancreatic herniation: a rare cause of acute pancreatitis?胰腺疝：急性胰腺炎的罕见病因？
BMJ Case Rep. 2013 Dec 16;2013:bcr2013201979. doi: 10.1136/bcr-2013-201979.
6
Hiatal herniation of the stomach and pancreas in a patient with oxygen desaturations.一名伴有氧饱和度降低的患者出现胃和胰腺的食管裂孔疝。
Libyan J Med. 2013 Dec 4;8(1):23288. doi: 10.3402/ljm.v8i0.23288.
7
Intrathoracic major duodenal papilla with transhiatal herniation of the pancreas and duodenum: A case report and review of the literature.胸腔内巨大十二指肠乳头伴胰腺和十二指肠经食管裂孔疝出：病例报告及文献复习。
World J Gastrointest Surg. 2013 Jun 27;5(6):202-6. doi: 10.4240/wjgs.v5.i6.202.
8
Diaphragmatic hernia: an unusual presentation.膈疝：一种不寻常的表现。
BMJ Case Rep. 2013 Apr 23;2013:bcr2013008699. doi: 10.1136/bcr-2013-008699.
9
Asymptomatic isolated partial hiatal herniation of the pancreas: MDCT evaluation and anatomical explanation: case report and review of literature.无症状孤立性胰腺裂孔疝：MDCT 评估及解剖学解释：病例报告及文献复习。
Clin Anat. 2013 Nov;26(8):1008-13. doi: 10.1002/ca.22240. Epub 2013 Mar 28.
10
Laparoscopic repair of a late-presenting Bochdalek diaphragmatic hernia with acute gastric volvulus.腹腔镜修复迟发性波氏孔膈疝伴急性胃扭转
BMJ Case Rep. 2013 Mar 20;2013:bcr2013008990. doi: 10.1136/bcr-2013-008990.