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Post-nephrectomy diaphragmatic hernia. Increase suspicion and decrease morbi-mortality: two cases report
German Mínguez Ruiz1, Luis J García Florez2, R Dario Arias Pacheco1
1Department of Surgery, Hospital Universitario San Agustín, Camino de Heros 6, Avilés, Asturias, Spain.
Post-nephrectomy diaphragmatic hernia is a rare complication following kidney removal surgery. Early diagnosis via computed tomography and prompt surgical intervention are crucial for reducing patient morbidity and mortality.
Area of Science:
- Surgery
- Radiology
- Gastroenterology
Background:
- Post-nephrectomy diaphragmatic hernia is an exceedingly rare iatrogenic complication.
- Symptoms can be acute or latent, often mimicking other conditions, delaying diagnosis.
Observation:
- Two cases are presented: a male 18 days post-right nephrectomy for renal carcinoma and a female 4 years post-left nephrectomy for renal atrophy.
- The clinical presentation varied due to the specific herniated contents.
Findings:
- Computed tomography (CT) is essential for radiological confirmation of the hernia.
- Prompt surgical treatment significantly improves outcomes.
Implications:
- Awareness of this rare complication is vital for timely diagnosis and management.
- Early surgical intervention reduces morbidity and mortality associated with post-nephrectomy diaphragmatic hernia.
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