Spontaneous Colonic Diaphragmatic Pericardial Herniation Causing Colonic Obstruction and Right Ventricular Collapse

Area of Science:

• Cardiology
• Gastroenterology
• Thoracic Surgery

Background:

• Diaphragmatic hernias can lead to severe gastrointestinal complications.
• Right ventricular collapse is a critical condition indicating cardiac compromise.

Purpose of the Study:

• To report a case of diaphragmatic herniation causing bowel obstruction and right ventricular collapse.
• To highlight the successful management of this rare presentation.

Main Methods:

• Computed tomography (CT) scan for diagnosis of herniation and gangrene.
• Transthoracic echocardiogram (TTE) to assess right ventricular function and collapse.
• Emergency robotic colectomy and diaphragmatic hernia repair.

Main Results:

• Successful surgical management of colonic herniation and obstruction.
• Resolution of right ventricular collapse post-operatively.
• Normal right ventricular function on follow-up imaging.

Conclusions:

• Robotic surgery is a viable option for managing complex diaphragmatic hernias with gastrointestinal compromise.
• Prompt surgical intervention can reverse critical hemodynamic instability caused by diaphragmatic herniation.
• Complete recovery is achievable with successful hernia repair and restoration of cardiac function.