{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:16:37Z","timestamp":1787170597747,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>\n                    <jats:bold>ABSTRACT<\/jats:bold>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>Transhiatal herniation of the pancreas is rare. Acute pancreatitis secondary to this phenomenon is particularly unusual. A 102-year-old woman presented with 1 day of severe chest pain, vomiting, dyspnea, and diaphoresis. Serum lipase was elevated, and computed tomography angiogram of the chest and magnetic resonance cholangiopancreatography revealed a hiatal hernia containing the pancreas, with associated findings of pancreatitis. Pancreatitis in this setting may be due to repetitive trauma or ischemia from sliding, intermittent folding of the pancreatic duct, or pancreatic incarceration. Mild cases can be managed supportively, with surgery being reserved for severe cases or for younger patients with low surgical risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.14309\/crj.2017.66","type":"journal-article","created":{"date-parts":[[2017,5,11]],"date-time":"2017-05-11T15:31:03Z","timestamp":1494516663000},"page":"e66","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":12,"title":["Transhiatal Herniation of the Pancreas: A Rare Cause of Acute Pancreatitis"],"prefix":"10.14309","volume":"4","author":[{"given":"Jeremy","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adarsh M.","family":"Thaker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wael Noor","family":"El-Nachef","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rabindra R.","family":"Watson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-66-20260710","doi-asserted-by":"crossref","first-page":"373","DOI":"10.2214\/ajr.177.2.1770373","article-title":"Hiatal hernia with pancreatic volvulus: A rare cause of acute pancreatitis.","volume":"177","author":"Chevallier","year":"2001","journal-title":"AJR Am J Roentgenol"},{"key":"R2-66-20260710","doi-asserted-by":"crossref","first-page":"202","DOI":"10.4240\/wjgs.v5.i6.202","article-title":"Intrathoracic major duodenal papilla with transhiatal herniation of the pancreas and duodenum: A case report and review of the literature.","volume":"5","author":"Jager","year":"2013","journal-title":"World J Gastrointest Surg"},{"key":"R3-66-20260710","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1097\/00004728-200207000-00008","article-title":"Asymptomatic diaphragmatic hiatal herniation of the pancreas.","volume":"26","author":"Katz","year":"2002","journal-title":"J Comput Assist Tomogr"},{"key":"R4-66-20260710","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1016\/0022-3468(90)90516-C","article-title":"Acute pancreatitis and gastric volvulus occurring in a congenital diaphragmatic hernia.","volume":"25","author":"Oliver","year":"1990","journal-title":"J Pediatr Surg"},{"key":"R5-66-20260710","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1002\/bjs.1800680922","article-title":"Incarcerated Bochdalek hernia presenting as acute pancreatitis.","volume":"68","author":"Cuschieri","year":"1981","journal-title":"Br J Surg"},{"key":"R6-66-20260710","first-page":"653","article-title":"Acute pancreatitis secondary to incarcerated paraesophageal hernia.","volume":"115","author":"Kafka","year":"1994","journal-title":"Surgery"},{"key":"R7-66-20260710","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1111\/jgh.12880","article-title":"Education and imaging. Gastroenterology: Diaphragmatic herniation and pancreatitis.","volume":"30","author":"Lu","year":"2015","journal-title":"J Gastroenterol Hepatol"},{"key":"R8-66-20260710","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":"R9-66-20260710","doi-asserted-by":"crossref","first-page":"2531925","DOI":"10.1155\/2016\/2531925","article-title":"Hiatus hernia: A rare cause of acute pancreatitis.","volume":"2016","author":"Patel","year":"2016","journal-title":"Case Rep Med"},{"key":"R10-66-20260710","doi-asserted-by":"crossref","first-page":"4409","DOI":"10.1007\/s00464-013-3173-3","article-title":"Guidelines for the management of hiatal hernia.","volume":"27","author":"Kohn","year":"2013","journal-title":"Surg Endosc"},{"key":"R11-66-20260710","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1097\/00000658-200210000-00012","article-title":"Paraesophageal hernias: Operation or observation?","volume":"236","author":"Stylopoulos","year":"2002","journal-title":"Ann Surg"}],"container-title":["ACG Case Reports Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/02075970-201704000-00066","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T15:16:25Z","timestamp":1786547785000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/02075970-201704000-00066"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.14309\/crj.2017.66","relation":{},"ISSN":["2326-3253"],"issn-type":[{"value":"2326-3253","type":"print"}],"subject":[],"published":{"date-parts":[[2017,1]]}}}