Choledochal semi volvulus with jaundice due to hiatal hernia. Initial percutaneous management

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.