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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

Intraoperative: pancreas seen herniated through hiatus. CBD dilated.
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RJV087F2: Intraoperative: pancreas seen herniated through hiatus. CBD dilated.

Mentions: At laparoscopy, the pancreas was seen entering the hiatus hernia (Fig. 2). Dissection of the sack allowed reduction in all hernia contents. The oesophagus was mobilised into the mediastinum, and the cardia was drawn without tension into the abdomen. Posterior and anterior repair of the hiatus was performed with 0 Ethibond. Total fundoplication and cardiopexy were performed as described by D'Netto et al. [1]. The patient left hospital 48 h after the procedure taking a full fluid diet. The bilirubin progressively returned to normal over 3 weeks. At 3-year follow-up, there were no symptoms and barium meal showed no recurrence.Figure 2:


Massive hiatus hernia complicated by jaundice.

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

Intraoperative: pancreas seen herniated through hiatus. CBD dilated.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

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

RJV087F2: Intraoperative: pancreas seen herniated through hiatus. CBD dilated.
Mentions: At laparoscopy, the pancreas was seen entering the hiatus hernia (Fig. 2). Dissection of the sack allowed reduction in all hernia contents. The oesophagus was mobilised into the mediastinum, and the cardia was drawn without tension into the abdomen. Posterior and anterior repair of the hiatus was performed with 0 Ethibond. Total fundoplication and cardiopexy were performed as described by D'Netto et al. [1]. The patient left hospital 48 h after the procedure taking a full fluid diet. The bilirubin progressively returned to normal over 3 weeks. At 3-year follow-up, there were no symptoms and barium meal showed no recurrence.Figure 2:

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