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.
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 (Fig. 1a and b).
Herniation of the pancreas into the thoracic cavity is extremely rare.1 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.2 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.
Ethical considerationsWe obtained written informed consent from the patient. This document is in the possession of the corresponding author.
Financial disclosureNo financial support was received in relation to this article.
Conflict of interestThe authors declare that there is no conflict of interest.
Please cite this article as: Mutluoglu M, Vandenbulcke R. El páncreas intratorácico. Rev Gastroenterol Méx. 2022;87:251–252.
