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Imagen de TC axial (a) y coronal (b) donde se muestra la hernia total de estómago (S), asociada con un páncreas casi completamente herniado (P).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Mutluoglu, R. Vandenbulcke" "autores" => array:2 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Mutluoglu" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Vandenbulcke" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2255534X22000287" "doi" => "10.1016/j.rgmxen.2022.04.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2255534X22000287?idApp=UINPBA000046" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0375090622000118?idApp=UINPBA000046" "url" => "/03750906/0000008700000002/v1_202205260629/S0375090622000118/v1_202205260629/es/main.assets" ] ] "itemSiguiente" => array:20 [ "pii" => "S2255534X22000354" "issn" => "2255534X" "doi" => "10.1016/j.rgmxen.2022.05.005" "estado" => "S300" "fechaPublicacion" => "2022-04-01" "aid" => "812" "copyright" => "Asociación Mexicana de Gastroenterología" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Rev Gastroenterol Mex. 2022;87:253-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical image in Gastroenterology</span>" "titulo" => "Imaging features of primary pancreatic lymphoma" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "253" "paginaFinal" => "255" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Características de imagen del linfoma pancreático primario" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2172 "Ancho" => 3000 "Tamanyo" => 790036 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Contrast-enhanced coronal (A), and axial (B) CT images in the portal venous phase, showing a hypodense mass in the pancreatic head (A-B-C-asterisk), accompanied by peripancreatic lymphadenopathy just superior to the mass (A-arrowhead). Note the patency of the superior mesenteric artery and the splenic vein in the arterial phase (C-arrows).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Mutluoglu, L. Cruyt, S. Gryspeerdt" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Mutluoglu" ] 1 => array:2 [ "nombre" => "L." "apellidos" => "Cruyt" ] 2 => array:2 [ "nombre" => "S." 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Toca, M.B. Morais, R. Vázquez-Frias, D.J. Becker-Cuevas, C.G. Boggio-Marzet, L. Delgado-Carbajal, M.M. Higuera-Carrillo, L. Ladino, S. Marchisone, G.C. Messere, G.J. Ortiz, L.R. Ortiz-Paranza, C. Ortiz-Piedrahita, J.P. Riveros-López, P.C. Sosa, N.C. Villalobos-Palencia" "autores" => array:17 [ 0 => array:2 [ "nombre" => "M.C." "apellidos" => "Toca" ] 1 => array:2 [ "nombre" => "M.B." "apellidos" => "Morais" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Vázquez-Frias" ] 3 => array:2 [ "nombre" => "D.J." "apellidos" => "Becker-Cuevas" ] 4 => array:2 [ "nombre" => "C.G." "apellidos" => "Boggio-Marzet" ] 5 => array:2 [ "nombre" => "L." "apellidos" => "Delgado-Carbajal" ] 6 => array:2 [ "nombre" => "M.M." "apellidos" => "Higuera-Carrillo" ] 7 => array:2 [ "nombre" => "L." "apellidos" => "Ladino" ] 8 => array:2 [ "nombre" => "S." "apellidos" => "Marchisone" ] 9 => array:2 [ "nombre" => "G.C." "apellidos" => "Messere" ] 10 => array:2 [ "nombre" => "G.J." 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"apellidos" => "Villalobos-Palencia" ] 16 => array:1 [ "colaborador" => "on behalf of the the Food Allergy Working Group of the Latin American Society for Pediatric Gastroenterology, Hepatology and Nutrition" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0375090622000337" "doi" => "10.1016/j.rgmx.2022.03.007" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0375090622000337?idApp=UINPBA000046" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2255534X22000330?idApp=UINPBA000046" "url" => "/2255534X/0000008700000002/v1_202206050628/S2255534X22000330/v1_202206050628/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical image in Gastroenterology</span>" "titulo" => "The intrathoracic pancreas" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "251" "paginaFinal" => "252" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M. Mutluoglu, R. Vandenbulcke" "autores" => array:2 [ 0 => array:4 [ "nombre" => "M." "apellidos" => "Mutluoglu" "email" => array:1 [ 0 => "mesut.mutluoglu@azdelta.be" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Vandenbulcke" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Radiología, AZ Delta Campus Rumbeke, Deltalaan 1, 8800 Roeselare, West Flanders, Belgium" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "El páncreas intratorácico" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1254 "Ancho" => 586 "Tamanyo" => 112368 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0045" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">CT images of the intrathoracic pancreas. Axial (a) and coronal (b) CT images showing complete herniation of the stomach (S), associated with an almost fully herniated pancreas (P).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 73-year-old female patient presented with loss of appetite and postprandial vomiting for about 3 weeks. A computed tomography (CT) scan of the abdomen was requested due to suspicion of an intra-abdominal mass.</p><p id="par0010" class="elsevierStylePara elsevierViewall">CT examination showed no abdominal mass but revealed a complete supradiaphragmatic herniation of the stomach, associated with an almost complete intrathoracic herniation of the pancreas. Additionally, an associated short segment of a gastroduodenal stricture at the diaphragmatic level was also present (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a and b).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Herniation of the pancreas into the thoracic cavity is extremely rare.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> This is an important finding which should be closely followed because it may eventually lead to pancreatitis due to the obstruction of the pancreatic canal.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Our patient showed no signs of pancreatitis, but her complaints have gradually increased over the past few weeks, and so she has been scheduled for laparoscopic hiatal hernia repair.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical considerations</span><p id="par0020" class="elsevierStylePara elsevierViewall">We obtained written informed consent from the patient. This document is in the possession of the corresponding author.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Financial disclosure</span><p id="par0025" class="elsevierStylePara elsevierViewall">No financial support was received in relation to this article.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflict of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare that there is no conflict of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Ethical considerations" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Financial disclosure" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflict of interest" ] 3 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Mutluoglu M, Vandenbulcke R. El páncreas intratorácico. Rev Gastroenterol Méx. 2022;87:251–252.</p>" ] ] "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1254 "Ancho" => 586 "Tamanyo" => 112368 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0045" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">CT images of the intrathoracic pancreas. Axial (a) and coronal (b) CT images showing complete herniation of the stomach (S), associated with an almost fully herniated pancreas (P).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Asymptomatic diaphragmatic hiatal herniation of the pancreas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Katz" 1 => "E. Atar" 2 => "P. Herskovitz" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/00004728-200207000-00008" "Revista" => array:6 [ "tituloSerie" => "J Comput Assist Tomogr" "fecha" => "2002" "volumen" => "26" "paginaInicial" => "524" "paginaFinal" => "525" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12218813" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transhiatal herniation of the pancreas: a rare cause of acute pancreatitis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "J. Wang" 1 => "A.M. Thaker" 2 => "W. Noor El-Nachef" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.14309/crj.2017.66" "Revista" => array:5 [ "tituloSerie" => "ACG Case Rep J" "fecha" => "2017" "volumen" => "4" "paginaInicial" => "e66" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28516111" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/2255534X/0000008700000002/v1_202206050628/S2255534X22000287/v1_202206050628/en/main.assets" "Apartado" => array:4 [ "identificador" => "18321" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Clinical Image in Gastroenterology" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/2255534X/0000008700000002/v1_202206050628/S2255534X22000287/v1_202206050628/en/main.pdf?idApp=UINPBA000046&text.app=https://www.revistagastroenterologiamexico.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2255534X22000287?idApp=UINPBA000046" ]
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