Pleural Incarceration of the Transverse Colon after Transthoracic Esophagectomy: A case report.
- Author:
Hee Jin JANG
1
;
Hyun Sung LEE
;
Jae Ill ZO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul Natinal University Hospital, Seoul National University College of Medicine, Korea.
- Publication Type:Case Report
- Keywords:
Esophageal cancer;
Esophageal surgery;
Hernia, hiatal
- MeSH:
Carcinoma, Squamous Cell;
Colon, Transverse;
Emergencies;
Esophageal Neoplasms;
Esophagectomy;
Hemodynamics;
Hernia, Hiatal;
Humans;
Intestinal Obstruction;
Laparotomy;
Lung;
Pleura;
Pleural Cavity
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2009;42(1):115-118
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 65 year-old man, who underwent transthoracic esophagectomy for mid-thoracic esophageal squamous cell carcinoma, suffered from an incarcerated herniation of the transverse colon through a defect in the left mediastinal pleura. The patient had a gas collection in the left lower lung field and this then insidiously progressed; the final result was total collapse of the left lung and hemodynamic compromise. The life-threatening herniation of the transverse colon into the pleural cavity after pervious esophagectomy was corrected by emergency laparotomy. Postoperative pulmonary complications after esophagectomy can induce potentially lethal transhiatal herniation because of the danger of intestinal obstruction or strangulation. The optimal approach to transhiatal herniation after esophagectomy is prevention.
