Korean J Thorac Cardiovasc Surg.  2017 Dec;50(6):456-459. 10.5090/kjtcs.2017.50.6.456.

Delayed Iatrogenic Diaphragmatic Hernia after Left Lower Lobectomy

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. choi.smcts@gmail.com

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.

Keyword

Lung surgery; Complication; Diaphragm; Hernia

MeSH Terms

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
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