Large hiatal hernia with pancreatic body herniation: Case-report

INTRODUCTION: A hiatal hernia can be classified as one of four types according to the position of the gastroesophageal (GE) junction and the extent of herniated stomach. Type IV paraesophageal hiatal hernia (PEHH) is characterized by a large defect in the diaphragmatic hiatus that allows other organs, besides stomach, such as the colon, pancreas, spleen, or small intestine to herniate into the thorax. Herniation of the pancreas through a gastroesophageal hiatus is a rare condition, and only a few cases have been reported in the literature. CASE REPORT: We present a case of an asymptomatic patient with paraesophageal herniation along with the body and tail of the pancreas. CONCLUSION: However, surgery is optimal choice for symptomatic patients, it is important for surgeons to consider the risks of different approaches and choose the best intervention.