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Postoperative diaphragmatic hernia with upside-down stomach: a case report.
Masakazu Wakabayashi1, Shuichi Kobori1, Kana Aoki1
1Department of Surgery, Sagamihara Kyodo Hospital, 4-3-1 Hashimotodai, Midori-ku, Sagamihara-shi, Kanagawa 252-5188, Japan.
The Journal of International Medical Research
|August 2, 2022
Summary
A postoperative diaphragmatic hernia caused an upside-down stomach (UDS). Laparoscopic surgery successfully repaired this rare condition, restoring normal anatomy and function with a favorable long-term outcome.
Area of Science:
- Gastroenterology and Surgical Innovation
Background:
- A 31-year-old male presented with acute epigastric pain and vomiting.
- History of retroperitoneal tumor resection involving the esophageal hiatus 8 months prior.
Observation:
- Imaging revealed stomach inversion into the thoracic cavity, with the gastroesophageal junction acting as a fulcrum.
- Diagnosis: Postoperative diaphragmatic hernia with an upside-down stomach (UDS).
Findings:
- Laparoscopic surgery was performed to reduce the prolapsed stomach into the abdominal cavity.
- The patient experienced an uncomplicated recovery and was discharged on postoperative day 7.
- No recurrence observed over a 5-year follow-up period.
Implications:
- Upside-down stomach (UDS) can occur in postoperative diaphragmatic hernias, similar to esophageal hiatal hernias.
- Laparoscopic surgery is an effective approach for managing postoperative diaphragmatic hernias with UDS.
- This minimally invasive technique allows for organ viability assessment, reduction, and diaphragmatic repair.
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