Voluminous paraumbilical hernia containing the pancreas – An unusual Cause of acute pancreatitis: A case report
| Autor: | Marcello Bartolotta, Adalberto Barbera, Giuseppe La Malfa, Iman Komaei, Gabriele Cassaro, Cristina Damiano, Giuseppe Currò, Giuseppe Navarra, Federica Sarra |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Abdominal ct Acute pancreatitis Case report Emergency laparotomy Intestinal obstruction Paraumbilical hernia 03 medical and health sciences 0302 clinical medicine Laparotomy Case report medicine Paraumbilical hernia business.industry Emergency laparotomy General Medicine medicine.disease Surgery Acute pancreatitis medicine.anatomical_structure Intestinal obstruction 030220 oncology & carcinogenesis Abdomen Pancreatitis 030211 gastroenterology & hepatology Differential diagnosis Pancreas business |
| Popis: | Introduction The paraumbilical hernia sac often contains the omentum, the small bowel, and less commonly the colon. The herniation of the pancreas through a paraumbilical hernia is extremely rare and has been reported only by two cases in the literature; moreover, acute pancreatitis secondary to this condition is a particularly unusual event. Case report We present a very unusual case of a 67-year-old female patient with a voluminous paraumbilical hernia containing the pancreas, complicated by acute pancreatitis. Laboratory data revealed an elevation of the pancreatic enzymes. An intravenous contrast-enhanced computed tomography (CT) scan of the abdomen demonstrated a large hernia sac containing multiple viscera, including the pancreas. The patient underwent emergency laparotomy with a diagnosis of intestinal obstruction. Conclusion The clinicians should consider this rare condition in the differential diagnosis of patients presenting with large paraumbilical hernias associated with classical symptoms of acute pancreatitis, particularly in the absence of typical risk factors for pancreatitis. An intravenous contrast-enhanced abdominal CT scan should be performed immediately in these patients. We recommend the patients and the surgeons to consider prompt surgical repair for paraumbilical hernias to avoid further complications and the higher incidence of morbidity and mortality associated with emergency surgeries. |
| Databáze: | OpenAIRE |
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