Acute pancreatitis associated with massive paraesophageal hernia involving the presence of the pancreatic body and tail

Acute pancreatitis is an acute inflammation of the pancreas and, according to the 2013 Revised Atlanta Classification, the majority of cases have only a mild clinical course without organ dysfunction. The primary objectives in the treatment of acute pancreatitis are essentially relief of pain, electrolyte and fluid support and energy intake other than removal of the causal agent. Even if in Italy gallstones especially are the predominant etiological factor, there are also less frequent causes associated with acute pancreatitis and we believe that the case of acute pancreatitis associated with massive incarcerated paraesophageal hernia involving the presence of the body and tail of the pancreas in the thorax is worth reporting.