RESUMO
Large diaphragmatic hernias are rare causes of common bile duct strictures. We report a case of mixed (slide and paraesophageal) hiatal hernia with jaundice due to choledochal dislodgment and torsion. The first time we named this entity choledochal semi volvulus. Its pathophysiology is analyzed and we remark the wise and accurate percutaneous management as diagnostic and initial therapeutic resources.
Assuntos
Colestase Extra-Hepática/etiologia , Hérnia Hiatal/complicações , Volvo Gástrico/complicações , Colangiografia , Colestase Extra-Hepática/diagnóstico por imagem , Colestase Extra-Hepática/cirurgia , Hérnia Hiatal/diagnóstico por imagem , Hérnia Hiatal/cirurgia , Humanos , Icterícia/diagnóstico por imagem , Icterícia/etiologia , Masculino , Pessoa de Meia-Idade , Volvo Gástrico/diagnóstico por imagem , Volvo Gástrico/cirurgiaRESUMO
Large diaphragmatic hernias are rare causes of common bile duct strictures. We report a case of mixed (slide and paraesophageal) hiatal hernia with jaundice due to choledochal dislodgment and torsion. The first time we named this entity choledochal semi volvulus. Its pathophysiology is analyzed and we remark the wise and accurate percutaneous management as diagnostic and initial therapeutic resources.
RESUMO
Large diaphragmatic hernias are rare causes of common bile duct strictures. We report a case of mixed (slide and paraesophageal) hiatal hernia with jaundice due to choledochal dislodgment and torsion. The first time we named this entity choledochal semi volvulus. Its pathophysiology is analyzed and we remark the wise and accurate percutaneous management as diagnostic and initial therapeutic resources. (Au)
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Hérnia Hiatal/complicações , Colestase/etiologia , Volvo Gástrico/complicações , Hérnia Hiatal/diagnóstico por imagem , Hérnia Hiatal/cirurgia , Colestase/diagnóstico por imagem , Colestase/cirurgia , Volvo Gástrico/diagnóstico por imagem , Volvo Gástrico/cirurgia , ColangiografiaRESUMO
Large diaphragmatic hernias are rare causes of common bile duct strictures. We report a case of mixed (slide and paraesophageal) hiatal hernia with jaundice due to choledochal dislodgment and torsion. The first time we named this entity choledochal semi volvulus. Its pathophysiology is analyzed and we remark the wise and accurate percutaneous management as diagnostic and initial therapeutic resources.