Iatrogenic diaphragmatic hernia in paediatric patients

Related Experiment Video

Updated: Apr 14, 2026

Transuterine Fetal Tracheal Occlusion Model in Mice
06:31

Transuterine Fetal Tracheal Occlusion Model in Mice

Published on: February 5, 2021

3.6K

Fanny Yeung1, Patrick Ho Yu Chung, Kenneth Kak Yuen Wong

  • 1Division of Paediatric Surgery, Department of Surgery, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong.

Pediatric Surgery International
|April 23, 2015
PubMed

Insights

Iatrogenic diaphragmatic hernia is a rare but serious complication in children after liver surgery. Early diagnosis and management are crucial for these patients to prevent life-threatening conditions like intestinal obstruction.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Hepatobiliary Surgery

Background:

  • Iatrogenic diaphragmatic hernia (IDH) is a rare complication following pediatric liver surgery.
  • It can lead to severe outcomes such as intestinal obstruction and bowel strangulation.
  • Previous literature consists primarily of limited case reports.

Observation:

  • This study retrospectively analyzed four pediatric cases of IDH.
  • All cases occurred after right hepatic trisectionectomy with caudate lobectomy and liver transplantation.
  • The review assessed patient characteristics, clinical presentation, and identified risk factors.

Findings:

  • Iatrogenic diaphragmatic hernia presents a significant diagnostic challenge in pediatric patients post-liver surgery.
  • Key risk factors and clinical presentations were identified in the reviewed cases.
  • Prompt recognition is essential for effective intervention.

Implications:

  • Pediatric patients with intestinal obstruction or respiratory distress post-hepatic resection or liver transplant should be evaluated for IDH.
  • Consideration of IDH in differential diagnosis can lead to earlier diagnosis and improved patient outcomes.
  • This highlights the need for heightened awareness among surgical and medical teams managing these complex pediatric cases.
Abstract

More Related Videos

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

6.0K
Author Spotlight: Recent Advancements in Reoperative Foregut Surgery04:14

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery

Published on: September 22, 2023

1.0K

Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
1.0K
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
806
Pneumothorax-II01:27

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:
1.5K
Pneumothorax-I01:26

Pneumothorax-I

A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
2.1K