Department of Gastroenterology and Hepatology, Numazu City Hospital, Japan.
Intern Med. 2023 May 15;62(10):1473-1478. doi: 10.2169/internalmedicine.0537-22. Epub 2022 Oct 5.
Hiatal hernia is a common condition in elderly patients, but the additional presence of prolapse of the pancreas is extremely rare. We herein report an 89-year-old woman who presented with liver function disorders and abdominal pain. Her laboratory tests revealed cholestasis, and imaging examinations showed stenosis of the common bile duct pulled toward the hernia sac. She was diagnosed with a common bile duct stricture due to pancreatic herniation and underwent laparoscopic surgery. Our review of the literature identified three types of pancreatic herniations: asymptomatic, bile duct complication, and acute pancreatitis. Pancreatic head herniation tends to induce bile duct complications.
食管裂孔疝在老年患者中较为常见，但胰腺脱垂的额外存在极为罕见。我们在此报告一例 89 岁女性，其表现为肝功能障碍和腹痛。她的实验室检查显示胆汁淤积，影像学检查显示胆总管向疝囊方向牵拉狭窄。她被诊断为因胰腺疝出导致的胆总管狭窄，并接受了腹腔镜手术。我们对文献的回顾确定了三种类型的胰腺疝出：无症状、胆管并发症和急性胰腺炎。胰头部疝出往往会引起胆管并发症。
