Herniated pancreatic body within a paraesophageal hernia

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., or sliding hernias, account for up to 95% of all hiatal hernias and occur when the GE junction migrates into the posterior mediastinum through the hiatus. Type. occurs when the fundus herniates through the hiatus alongside a normally positioned GE junction. Type. is a combination of types. and. hernias with a displaced GE junction as well as stomach protruding through the hiatus. Type. paraesophageal hernias are the rarest of the hiatal hernias. Usually, colon or small bowel is herniated within the mediastinum along with the stomach. We present a case of a paraesophageal hernia with the mid-body of the pancreas as part of the hernia contents. (C) 2011 Baishideng. All rights reserved.