Affiliation:
1. Department of Surgery, The Jikei University School of Medicine , Tokyo , Japan
Abstract
AbstractIatrogenic diaphragmatic hernia (IDH) is a rare complication that has been reported after various interventions, including liver transplantation, liver resection and nephrectomy. A surgical procedure for IDH has not been optimized. A 56-year-old man presented to our hospital with a 1-week history of abdominal pain and nausea. His medical history included an open nephrectomy for renal cancer 8 years ago and open distal pancreatectomy for its recurrence 1.5 years ago. Enhanced computed tomography showed IDH with the fornix of the stomach herniating to the left pleural cavity, without radiographic signs of strangulation. His symptoms improved after gastric decompression with nasogastric tube placement, and he underwent elective surgery. The incarcerated stomach was repositioned, and the hernia orifice was closed and reinforced with expanded polytetrafluoroethylene mesh using a thoracoscopic procedure. The patient had an uneventful postoperative course. The operative procedure for IDH should be tailored depending on anatomical alternations after previous surgeries.
Publisher
Oxford University Press (OUP)
Reference15 articles.
1. Laparoscopic surgery for strangulated diaphragmatic hernia after radiofrequency ablation for hepatocellular carcinoma: a case report;Kimura;Surg Case Rep,2021
2. Postnephrectomy diaphragmatic hernia presenting as progressive dyspnoea;Azam;BMJ Case Rep,2020
3. Post-nephrectomy diaphragmatic hernia. Increase suspicion and decrease morbi-mortality: two cases report;Mínguez Ruiz;Surg Case Rep,2018
4. Incarcerated thoracic gastric herniation after nephrectomy: a report of two cases;Fitzgerald;Case Rep Surg,2013
5. Incarcerated diaphragmatic hernia after right hepatectomy: an autopsy case with a review of 45 previous cases;Lee;Int J Leg Med,2021