{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T07:48:52Z","timestamp":1773647332992,"version":"3.50.1"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,6,16]],"date-time":"2022-06-16T00:00:00Z","timestamp":1655337600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Hiatal hernia (HH) contents commonly include stomach, transverse colon, small intestine, and spleen but herniation of the pancreas is an extremely rare phenomenon, even rarer when HH is associated with acute pancreatitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 56-year-old female with hypertension and gastroesophageal reflux disease presented with abdominal pain, vomiting and chest discomfort evolving for 24 h. Physical examination revealed left-upper quadrant tenderness without guarding. Blood tests showed elevated serum amylase and lipase levels.<\/jats:p>\n                    <jats:p>An abdominal CT scan demonstrated a large type-IV hiatal hernia involving the entire stomach, transverse and right colon, small intestine, duodenum as well as the head, body and the tail of pancreas. The pancreas was enlarged consistent with pancreatitis. Patient clinical status improved with conservative treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>The stomach is the most common organ to herniate through the diaphragm and pancreatic herniation is extremely rare with only few cases in the literature. Even rarer when associated with acute pancreatitis. This diagnosis is a major diagnostic and therapeutic challenge that has to be evoked in elderly presenting with chest pain and a negative cardiopulmonary evaluation. The ideal treatment is still unclear, however, conservative treatment is the initial management and surgery may be considered in case of recurrent episodes of acute pancreatitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>HH associated with acute pancreatitis is a major diagnostic and therapeutic challenge. Clinicians should consider this rare diagnosis in every case of chest pain with negative cardiopulmonary evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.107328","type":"journal-article","created":{"date-parts":[[2022,6,20]],"date-time":"2022-06-20T12:44:40Z","timestamp":1655729080000},"page":"107328","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["The uncommon diagnosis of hiatal hernia associated pancreatitis"],"prefix":"10.1097","volume":"96","author":[{"given":"Atef","family":"Mejri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khaoula","family":"Arfaoui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasser","family":"Yaacoubi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Firas","family":"Ayadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-52-20260309","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1186\/s40792-020-0773-8","article-title":"Massive hiatal hernia involving prolapse of the entire stomach and pancreas resulting in pancreatitis and bile duct dilatation: a case report","volume":"6","author":"Tomida","year":"2020","journal-title":"Surg.Case Rep"},{"key":"R2-52-20260309","doi-asserted-by":"crossref","first-page":"249","DOI":"10.4253\/wjge.v11.i3.249","article-title":"Rare sequalae of hiatal hernia causing pancreatitis and hepatitis: a case report","volume":"11","author":"Kamal","year":"2019","journal-title":"WorldJ. 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Roentgenol"},{"key":"R8-52-20260309","doi-asserted-by":"crossref","first-page":"S897","DOI":"10.1016\/j.hpb.2021.08.854","article-title":"Intrathoracic herniation of the pancreas","volume":"23","author":"Sierra","year":"2021","journal-title":"HPB"},{"key":"R11-52-20260309","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1053\/j.gastro.2009.12.069","article-title":"A rare complication of hiatal hernia","volume":"139","author":"Rozas","year":"2010","journal-title":"Gastroenterology"},{"key":"R13-52-20260309","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.1136\/gut.2008.149401","article-title":"A puzzling presentation of pancreatitis","volume":"57","author":"Laleman","year":"2008","journal-title":"Gut"},{"key":"R14-52-20260309","doi-asserted-by":"crossref","first-page":"25","DOI":"10.4137\/CCRep.S13079","article-title":"Acute pancreatitis secondary to an incarcerated paraoesophageal hernia: a rare cause for a common problem","volume":"7","author":"Boyce","year":"2014","journal-title":"Clin. Med. Insights Case Rep"},{"key":"R15-52-20260309","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1016\/j.diii.2018.04.002","article-title":"Intrathoracic pancreatic herniation: a rare cause of acute pancreatitis","volume":"99","author":"Barral","year":"2018","journal-title":"Diagn. Interv. Imaging"},{"key":"R16-52-20260309","doi-asserted-by":"crossref","first-page":"4407","DOI":"10.1007\/s00464-013-3212-0","article-title":"SAGES guidelines for the management of hiatal hernia","volume":"27","author":"Peters","year":"2013","journal-title":"Surg. Endosc"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222005740?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222005740?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107328","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T09:06:18Z","timestamp":1773047178000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107328"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":11,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2022.107328","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}