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.