title: Choledochal semi volvulus with jaundice due to hiatal hernia. Initial percutaneous management.
abstract: 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.
authors.affiliation: Departments of Surgery and Gastroenterology, Army Central Hospital, Luis María Campos 726, (C1426BOR) Buenos Ares, Argentina. jcaldeiro@intramrd.net.ar
authors.forename: J C
authors.initials: JC
authors.lastname: Caldeiro
authors.forename: A
authors.initials: A
authors.lastname: Curcio
authors.forename: V C
authors.initials: VC
authors.lastname: Gigena
authors.forename: G
authors.initials: G
authors.lastname: Barbarosa
mesh_terms: D002758:Cholangiography; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006551:Hernia, Hiatal / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007565:Jaundice / Q000000981:diagnostic imaging / Q000209:etiology; D008297:Male; D008875:Middle Aged; D013277:Stomach Volvulus / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery