Acute pancreatitis secundary to giant hiatal hernia

Authors

Keywords:

hiatal hernia, acute pancreatitis, stomach, pancreas, surgery

Abstract

Introduction: in grade IV hiatal hernias, herniation of the stomach occurs along with other abdomianl organs. The association of acute pancreatitis is very rare.

Objective: to present a rare case of acute pancreatitis secondary to grade IV hiatal hernia.

Clinical case:  61-year-old female patient with a history of chronic gastritis, dyspeptic disorders for 5 months and recent weight loss, who came to the emergency room due to intense abdominal pain associated with abundant vomiting for two days. Complementary blood tests show alterations in pancreatic enzymes. Imaging studies report the presence of a giant hiatal hernia, with part of the stomach and duodenum inside. Delayed surgical treatment is perfomed.

Conclusions:  the presence of a grade IV hiatal hernia associated with acute pancreatitis is rare. The analysis of pancreatic enzymes, together with imaging means such as computed axial tomography, barium study of the esophagus-stomach and duodenum, and upper digestive endoscopy helped in the diagnosis. Treatment consisted of hiatal herniorrhaphy with Toupet fundoplication.

Author Biographies

Roberto Lázaro Blanco-Sosa, Universidad de Ciencias Médicas de La Habana

Doctor en Medicina (Universidad de Ciencias Médicas de Villa Clara, 2021) Máster Universitario en Bioética (Universidad Católica de Valencia, 2024) Residente de 4to año de Cirugía General. Hospital Universitario General Calixto García, La Habana. Miembro Sociedad Cubana de Cirugía. Miembro Sociedad Española de Trasplante Hepático. Miembro Sociedad Mexicana de Cirugía Hepatopancreatobiliar.

José Ángel Cuesta-del Sol, Universidad de Ciencias Médicas de Cienfuegos

Especialista de Primer Grado en Cirugía General. Hospital Provincial Clínico Quirúrgico Dr. Gustavo Aldereguía Lima.

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Published

2024-05-31

How to Cite

1.
Blanco-Sosa RL, Cuesta-del Sol J Ángel. Acute pancreatitis secundary to giant hiatal hernia. Invest Medicoquir [Internet]. 2024 May 31 [cited 2025 Dec. 5];16(1):e883. Available from: https://revcimeq.sld.cu/index.php/imq/article/view/883

Issue

Vol. 16 No. 1 (2024): January-December

Section

Case presentation

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Copyright (c) 2024 Roberto Lázaro Blanco-Sosa, José Ángel Cuesta-del Sol

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