Thoracic herniation of the pancreas
Suffering from dyspnea secondary to interstitial lung disease (ILD). Diaphragmatic herniation of the pancreas is an incidental finding of this imaging.
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CT images demonstrate thoracic herniation of the pancreatic tail with intra-abdominal fat tissue via defect in the diaphragm.
Diaphragmatic hernias are sub-divided into two groups: congenital and acquired.
In an asymptomatic case with left-sided diaphragmatic hernia, one should think Bochdalek or traumatic subtypes. In a Bochdalek hernia, the herniating structure could be stomach, intestine, spleen, or kidney. In a traumatic hernia, herniation of stomach, small bowel, omentum, spleen, or kidney is possible.
Herniation of pancreas is a rare condition reported in only a few cases; most of them were hiatal. In this case, asymptomatic herniation of tail of pancreas via the musculotendinous defect is presented.