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[Diaphragmatic hernia 3 years after the nephrectomy].

R Ishibe¹, S Ogata, K Yamamoto

¹Department of Surgery, Sendai Citizen Hospital, Satsumasendai, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery

|June 16, 2009

Summary

This case report details a rare diaphragmatic hernia where the liver and colon herniated into the chest after prior surgery. Prompt surgical repair led to a satisfactory outcome, highlighting the importance of considering post-surgical complications.

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Area of Science:

Thoracic surgery
Gastrointestinal surgery
Diagnostic imaging

Background:

Diaphragmatic hernias can present acutely with severe symptoms.
Previous abdominal or thoracic surgery, especially involving the diaphragm, is a risk factor.

Observation:

An 81-year-old male presented with acute dyspnea.
Imaging revealed liver and transverse colon herniation into the right pleural cavity.
No history of trauma, but a prior right nephrectomy for renal cancer was noted.

Findings:

Emergency surgery confirmed massive herniation of the liver and transverse colon.
Diaphragmatic defect was repaired using a prosthesis.
The patient's postoperative recovery was uneventful.

Implications:

This case underscores the potential for delayed diaphragmatic hernia formation post-surgery.
Clinicians should consider iatrogenic diaphragmatic defects in patients with relevant surgical histories presenting with respiratory distress.
Prompt diagnosis and surgical intervention are crucial for managing acute diaphragmatic hernias.