Delayed Iatrogenic Diaphragmatic Hernia after Left Lower Lobectomy.
10.5090/kjtcs.2017.50.6.456
- Author:
Tae Hee HONG
1
;
Yong Soo CHOI
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. choi.smcts@gmail.com
- Publication Type:Case Report
- Keywords:
Lung surgery;
Complication;
Diaphragm;
Hernia
- MeSH:
Aged;
Diaphragm;
Emergency Service, Hospital;
Endoscopy, Digestive System;
Follow-Up Studies;
Gastrointestinal Tract;
Hernia;
Hernia, Diaphragmatic*;
Humans;
Nausea;
Pleural Cavity;
Stomach;
Thoracic Cavity;
Thoracic Surgery, Video-Assisted;
Vomiting
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2017;50(6):456-459
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 66-year-old patient undergoing regular follow-up at Samsung Medical Center after left lower lobectomy visited the emergency department around 9 months postoperatively because of nausea and vomiting after routine esophagogastroduodenoscopy at a local clinic. Abdominal computed tomography showed the stomach herniating into the left thoracic cavity. We explored the pleural cavity via video-assisted thoracic surgery (VATS). Adhesiolysis around the herniated stomach and laparotomic reduction under video assistance were successfully performed. The diaphragmatic defect was repaired via VATS. The postoperative course was uneventful, and he was discharged with resolved digestive tract symptoms.