{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T21:52:56Z","timestamp":1777672376871,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Investigative Medicine High Impact Case Reports"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>Diaphragmatic hernia (DH) is a condition characterized by the passage of abdominal content into the thorax. The acute symptoms associated with this entity are uncommon, pancreatic herniation being very rare. A 73-year-old patient with acute pain in the upper abdomen, distributive shock, with tomographic findings of the passage of abdominal contents into the thorax, including the pancreas, is described. The association between acute symptoms, pancreatic diaphragmatic herniation, and distributive shock is extremely rare. A case of a patient with severe acute pancreatitis secondary to DH requiring comprehensive management in the Intensive Care Unit is presented.<\/jats:p>","DOI":"10.1177\/23247096251366055","type":"journal-article","created":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T10:09:41Z","timestamp":1758967781000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Diaphragmatic Hernia-Induced Severe Acute Pancreatitis: A Rare Cause of Abdominal Pain and Distributive Shock"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8511-7237","authenticated-orcid":false,"given":"Juli\u00e1n Orlando","family":"Casallas-Barrera","sequence":"first","affiliation":[{"name":"Department of Critical Care and Intensive Care Medicine, Fundaci\u00f3n Cl\u00ednica Shaio, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro","family":"Concha-Mej\u00eda","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Fundaci\u00f3n Cl\u00ednica Shaio, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia Marcela","family":"Poveda-Henao","sequence":"additional","affiliation":[{"name":"Department of Critical Care and Intensive Care Medicine, Fundaci\u00f3n Cl\u00ednica Shaio, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carol","family":"Aponte-Carrascal","sequence":"additional","affiliation":[{"name":"Critical Care Resident, Universidad de La Sabana, Ch\u00eda, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar Juli\u00e1n","family":"Chavarro-Alfonso","sequence":"additional","affiliation":[{"name":"Department of Critical Care and Intensive Care Medicine, Fundaci\u00f3n Cl\u00ednica Shaio, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicol\u00e1s Alejandro","family":"Cuevas Jim\u00e9nez","sequence":"additional","affiliation":[{"name":"Research Department, Fundaci\u00f3n Cl\u00ednica Shaio, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,9,27]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.21037\/atm.2016.09.10"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpg.2007.12.007"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/1556-4029.13142"},{"key":"e_1_3_3_5_2","first-page":"1350","article-title":"Asymptomatic diaphragmatic hiatal herniation of the pancreas","volume":"179","author":"Katz M","year":"2002","unstructured":"Katz M, Atar E, Herskovitz P. Asymptomatic diaphragmatic hiatal herniation of the pancreas. AJR Am J Roentgenol. 2002;179:1350.","journal-title":"AJR Am J Roentgenol"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000002645"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.4253\/wjge.v11.i3.249"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/2531925"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.15279\/kpba.2018.23.4.177"},{"key":"e_1_3_3_10_2","article-title":"Hiatal hernia and acute pancreatitis","volume":"113","author":"Makhoul E","year":"2018","unstructured":"Makhoul E, El Mir J, Loutfi T. Hiatal hernia and acute pancreatitis. 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