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Incarcerated transdiaphragmatic intercostal hernia preceded by Chilaiditi's syndrome
J C Rompen1, C J Zeebregts, R L Prevo
1Department of Surgery, Medisch Spectrum Twente, Enschede, The Netherlands.
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|December 8, 2004
Summary
A rare case of incarcerated transdiaphragmatic intercostal hernia occurred in a 73-year-old man. This study reviews the literature on transdiaphragmatic herniation and Chilaiditi
Area of Science:
- General Surgery
- Trauma Surgery
- Gastroenterology
Background:
- Transdiaphragmatic hernias commonly result from thoracoabdominal trauma.
- Chilaiditi's syndrome involves the abnormal positioning of the colon in the thoracic cavity.
Observation:
- A 73-year-old male presented with an incarcerated transdiaphragmatic intercostal hernia requiring emergency surgery.
- The patient had a history of a lumbotomy for right nephrectomy and Chilaiditi's syndrome.
Findings:
- The case involved an ileocecal resection due to the incarcerated hernia.
- Literature review on transdiaphragmatic intercostal herniation and Chilaiditi's syndrome was conducted.
Implications:
- This case highlights a rare presentation of transdiaphragmatic hernia.
- Understanding the interplay between diaphragmatic defects, abdominal surgery, and colonic anomalies is crucial for surgical management.