A Pancreas Out of Place: Acute Interstitial Pancreatitis Caused by Pancreatic Herniation in a Type IV Paraesophageal Hernia.

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2026-08-13 eCollection Date: 2026-08-01 DOI:10.14309/crj.0000000000002274

Arman Manjikian, Victoria Diaz, Mark Hsu, Christian Stone

引用次数: 0

Abstract

Pancreatic involvement in paraesophageal hernias is rare and can precipitate acute pancreatitis through mechanical compression or ischemia. We report an 82-year-old woman who presented with epigastric pain and an elevated lipase level. Imaging demonstrated a large type IV paraesophageal hernia containing the stomach, transverse colon, and pancreatic body and tail, with inflammatory changes localized to the pancreatic tail. Common causes of pancreatitis were excluded. The patient improved with conservative management and was referred for elective hernia repair after resolution of pancreatitis. This case highlights an uncommon mechanical cause of acute pancreatitis and the importance of anatomic evaluation in atypical presentations.

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胰腺错位：IV型食管旁疝胰疝引起的急性间质性胰腺炎。

食道旁疝累及胰腺是罕见的，可通过机械压迫或缺血诱发急性胰腺炎。我们报告一个82岁的妇女谁提出了胃脘痛和升高的脂肪酶水平。影像学显示一个大的IV型食管旁疝，包括胃、横结肠、胰腺体和胰腺尾，炎性改变局限于胰腺尾。排除常见的胰腺炎原因。患者经保守治疗后病情好转，胰腺炎消退后转行择期疝修补术。这个病例强调了一个不常见的机械原因的急性胰腺炎和不典型表现解剖评价的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.