ACUTE-PANCREATITIS SECONDARY TO INCARCERATED PARAESOPHAGEAL HERNIA

Paraesophageal hiatus hernia can be a morbid and even lethal condition . Although many complications from this entity have been described, th ey almost always involve gastric incarceration and its related complic ations. Occasionally, the transverse colon or spleen may be involved i n the hernia, causing additional symptoms. An unusual case of paraesop hageal hiatus hernia involving incarceration of the pylorus, proximal duodenum, and pancreatic head is described. The patient's presentation , operative management, and perioperative course are discussed to emph asize the importance of early repair of paraesophageal hiatus hernia b efore the development of such occurrences.