Journal Information
Vol. 87. Issue 2.
Pages 251-252 (April - June 2022)
Visits
2611
Vol. 87. Issue 2.
Pages 251-252 (April - June 2022)
Clinical image in Gastroenterology
Open Access
The intrathoracic pancreas
El páncreas intratorácico
Visits
2611
M. Mutluoglu
Corresponding author
mesut.mutluoglu@azdelta.be

Corresponding author.
, R. Vandenbulcke
Departamento de Radiología, AZ Delta Campus Rumbeke, Deltalaan 1, 8800 Roeselare, West Flanders, Belgium
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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).

Figure 1.

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).

(0.11MB).

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 considerations

We obtained written informed consent from the patient. This document is in the possession of the corresponding author.

Financial disclosure

No financial support was received in relation to this article.

Conflict of interest

The authors declare that there is no conflict of interest.

References
[1]
M. Katz, E. Atar, P. Herskovitz.
Asymptomatic diaphragmatic hiatal herniation of the pancreas.
J Comput Assist Tomogr, 26 (2002), pp. 524-525
[2]
J. Wang, A.M. Thaker, W. Noor El-Nachef, et al.
Transhiatal herniation of the pancreas: a rare cause of acute pancreatitis.
ACG Case Rep J, 4 (2017), pp. e66

Please cite this article as: Mutluoglu M, Vandenbulcke R. El páncreas intratorácico. Rev Gastroenterol Méx. 2022;87:251–252.

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