Acute secondary pancreatitis to giant hiatal hernia. A case report

In grade IV hiatal hernias, the stomach herniates together with other abdominal organs. The association of acute pancreatitis is rare. A case of a 61-years-old patient who came to the Emergency Room for intense abdominal pain associated with abundant vomiting for two days is presented. She reported...

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Main Authors: Roberto Lázaro Blanco Sosa, José Ángel Cuesta Del Sol
Format: Article
Language:Spanish
Published: Centro Provincial de Información de Ciencias Médicas. Cienfuegos 2024-09-01
Series:Medisur
Subjects:
Online Access:http://medisur.sld.cu/index.php/medisur/article/view/45228
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author Roberto Lázaro Blanco Sosa
José Ángel Cuesta Del Sol
author_facet Roberto Lázaro Blanco Sosa
José Ángel Cuesta Del Sol
author_sort Roberto Lázaro Blanco Sosa
collection DOAJ
description In grade IV hiatal hernias, the stomach herniates together with other abdominal organs. The association of acute pancreatitis is rare. A case of a 61-years-old patient who came to the Emergency Room for intense abdominal pain associated with abundant vomiting for two days is presented. She reported a history of chronic gastritis, dyspeptic disorders for five months, and recent weight loss. Additional blood tests were ordered, which showed alteration of pancreatic enzymes consistent with inflammation of the organ. Imaging studies reported the presence of a giant hiatal hernia, with part of the stomach and duodenum inside. Delayed surgical treatment was performed (hiatal herniorrhaphy with Toupet fundoplication). Analysis of pancreatic enzymes, together with imaging methods such as computed axial tomography, esophagogastroduodenoscopy and barium study of the esophagus-stomach and duodenum contributed to the formulation of the diagnosis.
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spelling doaj-art-db0e383848ea474581da9a8986a479772025-01-30T21:29:03ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2024-09-01225101410192549Acute secondary pancreatitis to giant hiatal hernia. A case reportRoberto Lázaro Blanco Sosa0José Ángel Cuesta Del Sol1Hospital Universitario General Calixto García. La HabanaHospital General Universitario Dr. Gustavo Aldereguía Lima. CienfuegosIn grade IV hiatal hernias, the stomach herniates together with other abdominal organs. The association of acute pancreatitis is rare. A case of a 61-years-old patient who came to the Emergency Room for intense abdominal pain associated with abundant vomiting for two days is presented. She reported a history of chronic gastritis, dyspeptic disorders for five months, and recent weight loss. Additional blood tests were ordered, which showed alteration of pancreatic enzymes consistent with inflammation of the organ. Imaging studies reported the presence of a giant hiatal hernia, with part of the stomach and duodenum inside. Delayed surgical treatment was performed (hiatal herniorrhaphy with Toupet fundoplication). Analysis of pancreatic enzymes, together with imaging methods such as computed axial tomography, esophagogastroduodenoscopy and barium study of the esophagus-stomach and duodenum contributed to the formulation of the diagnosis.http://medisur.sld.cu/index.php/medisur/article/view/45228hernia hiatalpancreatitisestómagopáncreascirugía
spellingShingle Roberto Lázaro Blanco Sosa
José Ángel Cuesta Del Sol
Acute secondary pancreatitis to giant hiatal hernia. A case report
Medisur
hernia hiatal
pancreatitis
estómago
páncreas
cirugía
title Acute secondary pancreatitis to giant hiatal hernia. A case report
title_full Acute secondary pancreatitis to giant hiatal hernia. A case report
title_fullStr Acute secondary pancreatitis to giant hiatal hernia. A case report
title_full_unstemmed Acute secondary pancreatitis to giant hiatal hernia. A case report
title_short Acute secondary pancreatitis to giant hiatal hernia. A case report
title_sort acute secondary pancreatitis to giant hiatal hernia a case report
topic hernia hiatal
pancreatitis
estómago
páncreas
cirugía
url http://medisur.sld.cu/index.php/medisur/article/view/45228
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