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Clin Med Insights Case Rep. 2014 Mar 11;7:25-7. doi: 10.4137/CCRep.S13079. eCollection 2014.

Acute pancreatitis secondary to an incarcerated paraoesophageal hernia: a rare cause for a common problem.

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Department of Hepatobiliary Surgery, Belfast Trust, Mater Hospital, Belfast, Northern Ireland.


This is a rare case report of acute pancreatitis secondary to a massive incarcerated paraoesophageal hernia. The pathogenesis resulted from obstruction of the distal pancreatic duct after displacement of the pancreatic head and body into the thorax as part of a Type IV paraoesophageal hernia. Although this condition is rare, the patient made steady progress following laparotomy and open repair of hernia. She made a good recovery after prompt therapy, therefore, this report can be a guide to the diagnosis and treatment of similar conditions.


pancreatitis; paraoesophageal hernia; surgery

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