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Hiatal Hernia

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...

Pneumothorax-II

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:

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Related Experiment Video

Updated: May 13, 2026

Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome

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Published on: January 23, 2026

Left diaphragmatic hernia after pneumonectomy.

E Piraccini¹, V Agnoletti, R M Corso

¹Anaesthesia and Intensive Care Unit, "G.B. Morgagni-Pierantoni" Hospital, Forlì, Italy.

HSR Proceedings in Intensive Care & Cardiovascular Anesthesia

|February 27, 2013

Summary

A rare diaphragmatic hernia can occur late after pneumonectomy, complicating recovery. Anesthesiologists must consider this possibility, even with epidural analgesia, to ensure timely diagnosis and treatment.

Keywords:

cardiothoracic intensive care diaphragmatic hernia thoracic surgery

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Area of Science:

Cardiothoracic Surgery
Surgical Complications
Anesthesiology

Background:

Pneumonectomy, a major lung resection, carries risks of cardiovascular and respiratory complications.
Postoperative complications significantly impact patient outcomes, increasing morbidity and mortality.
Diaphragmatic hernias are a potential, though uncommon, late complication following thoracic surgery.

Observation:

A case of diaphragmatic hernia presenting late after pneumonectomy is described.
The hernia's late presentation complicated the postoperative scenario.
Epidural analgesia masked or confused the clinical presentation.

Findings:

Diaphragmatic hernia is a rare but serious late complication after pneumonectomy.
Clinical presentation can be insidious and mimic other postoperative issues.
Diagnostic awareness is crucial for timely recognition.

Implications:

Anesthesiologists and surgeons must maintain a high index of suspicion for diaphragmatic hernias post-pneumonectomy.
Delayed diagnosis can lead to increased morbidity and mortality.
Consideration of diaphragmatic hernia is necessary even in the presence of epidural analgesia for postoperative pain management.