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Massive hiatus hernia complicated by jaundice.

Furtado RV, D'Netto TJ, Hook HC, Falk GL, Vivian S - J Surg Case Rep (2015)

Bottom Line: Giant para-oesophageal hernia may include pancreas with pancreatic complication and rarely jaundice.Repair is feasible and durable by laparoscopy.Magnetic resonance cholangiopancreatography is diagnostic.

View Article: PubMed Central - HTML - PubMed

Affiliation: Upper GI Surgery, Concord Repatriation General Hospital, Concord, Australia.

No MeSH data available.


Related in: MedlinePlus

MRCP: biliary dilatation, kinking CBD on the hiatus.
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RJV087F1: MRCP: biliary dilatation, kinking CBD on the hiatus.

Mentions: The bilirubin was 158 µmol per litre and the alkaline phosphatase 751 IU/l, gamma glutamyl transferase (GGT) 1560 IU/l, aspartate aminotransferase 110 IU/l, and there was a normocytic anaemia (haemoglobin 130 3G/L). Computed tomography (CT) scan showed a massive hiatus hernia (MHH) containing duodenum and pancreas, and intra- and extra-hepatic biliary dilatation. The bile duct was not obtained at endoscopic retrograde cholangiopancreatography (ERCP), and the ampulla was normal. Magnetic resonance cholangiopancreatography (MRCP) showed a dilated biliary tree with axis deviation of the common bile duct (CBD) causing obstruction and kinking and proximal dilatation, where it entered the hiatal opening (Fig. 1).Figure 1:


Massive hiatus hernia complicated by jaundice.

Furtado RV, D'Netto TJ, Hook HC, Falk GL, Vivian S - J Surg Case Rep (2015)

MRCP: biliary dilatation, kinking CBD on the hiatus.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4526397&req=5

RJV087F1: MRCP: biliary dilatation, kinking CBD on the hiatus.
Mentions: The bilirubin was 158 µmol per litre and the alkaline phosphatase 751 IU/l, gamma glutamyl transferase (GGT) 1560 IU/l, aspartate aminotransferase 110 IU/l, and there was a normocytic anaemia (haemoglobin 130 3G/L). Computed tomography (CT) scan showed a massive hiatus hernia (MHH) containing duodenum and pancreas, and intra- and extra-hepatic biliary dilatation. The bile duct was not obtained at endoscopic retrograde cholangiopancreatography (ERCP), and the ampulla was normal. Magnetic resonance cholangiopancreatography (MRCP) showed a dilated biliary tree with axis deviation of the common bile duct (CBD) causing obstruction and kinking and proximal dilatation, where it entered the hiatal opening (Fig. 1).Figure 1:

Bottom Line: Giant para-oesophageal hernia may include pancreas with pancreatic complication and rarely jaundice.Repair is feasible and durable by laparoscopy.Magnetic resonance cholangiopancreatography is diagnostic.

View Article: PubMed Central - HTML - PubMed

Affiliation: Upper GI Surgery, Concord Repatriation General Hospital, Concord, Australia.

No MeSH data available.


Related in: MedlinePlus