Dataset Information

Voluminous paraumbilical hernia containing the pancreas - An unusual cause of acute pancreatitis: A case report.

ABSTRACT:

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.

SUBMITTER: Komaei I

PROVIDER: S-EPMC6637250 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature

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Publications

Voluminous paraumbilical hernia containing the pancreas - An unusual cause of acute pancreatitis: A case report.

Komaei Iman I La Malfa Giuseppe G Damiano Cristina C Sarra Federica F Cassaro Gabriele G Barbera Adalberto A Bartolotta Marcello M Currò Giuseppe G Navarra Giuseppe G

Annals of medicine and surgery (2012) 20190710

<h4>Introduction</h4>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.<h4>Case report</h4>We present a very unusual case of a 67-year-old female patient with a voluminous paraumbilical hernia containing the pancreas, c ...[more]

PMID: 31360452

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Project description:Introduction Portal hypertension is a rare complication of liver metastases. The study highlights that clinician should be aware of conditions mimicking cirrhosis with similar clinical presentation and imaging findings. Case presentation We present the case of a 29-year-old non-alcoholic lady who presented to our hospital with a history of two months of progressive, painless abdominal distension and progressively increasing yellowish discoloration of the eyes. Physical examination, laboratory investigations, and imaging tests led to a diagnosis of multiple metastases from breast carcinoma to the liver leading to portal hypertension after exclusion of other causes of portal hypertension. However, after three weeks of presentation to the hospital, the patient died before any therapeutic measures were initiated to address breast carcinoma. Clinical discussion Liver metastasis from primary breast carcinoma rarely presents with clinical symptoms of portal hypertension. Although portal hypertension secondary to pseudocirrhosis, predominantly linked to ongoing chemotherapy for known cancers, has been previously described in case studies, our case had an unusual presentation leading to diagnostic uncertainty. Conclusion Our case highlights the rare cause of liver metastasis secondary to breast carcinoma, which presented as portal hypertension. Highlights • Portal hypertension is a rare complication of liver metastases, frequently occurring in malignant diseases.• In patients with liver metastases, chemotherapy can result in areas of retracted tumor tissue and scarring, also known as pseudocirrhosis.• Although portal hypertension is secondary to pseudocirrhosis and predominantly linked to ongoing chemotherapy for known cancers, our case had an unusual presentation leading to diagnostic uncertainty.• The patient has an atypical presentation with symptoms consistent with portal hypertension and chronic liver disease without prior exposure to chemotherapy which could be due to the tumor deposits resulting in sinusoidal obstruction, subsequently leading to portal hypertension.

Dataset Information

Voluminous paraumbilical hernia containing the pancreas - An unusual cause of acute pancreatitis: A case report.

Introduction

Case report

Conclusion

Publications

Voluminous paraumbilical hernia containing the pancreas - An unusual cause of acute pancreatitis: A case report.

Similar Datasets

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