Iatrogenic diaphragmatic hernia after thoracoscopy. case report
DOI:
https://doi.org/10.24054/cbs.v4i3.4533Keywords:
diaphragmatic hernia, minimally invasive surgery, thoracoscopic surgery, Iatrogenic diaphragmatic herniaAbstract
Introduction: Diaphragmatic hernia is a rare iatrogenic complication with late and nonspecific manifestations, making diagnosis difficult. Case presentation: We present a clinical case of a 32-year-old woman with iatrogenic diaphragmatic hernia following pulmonary decortication via thoracoscopy for pleural tuberculosis. Conclusion: Given the exceptionally low frequency of this complication, maintaining a high index of suspicion is essential for early diagnosis and immediate intervention.
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Castillo Barbosa A, Pérez Rivera CJ, Tellez LJ, et al. Left diaphragmatic hernia following thoracoabdominal aortic repair: A case report. Int J Surg Case Rep. 2020;70:209-212. Doi: 10.1016/j.ijscr.2020.04.038.
Ibrahim I, Sani R, Layla B, et al. Right iatrogenic diaphragmatic hernia following thoracic surgery. SM J Pulm Med. 2016;2:1023.
Asahi Y, Honda S, Okada T, et al. Usefulness of plain computed tomography with swallowing of gastrografinTM for the diagnosis of a late onset iatrogenic diaphragmatic hernia following biopsy of a diaphragmatic tumor: Report of a case. Case Rep Gastroenterol. 2018 Jun 15;12:271-276. Doi: 10.1159/000489294.
Hashimoto K, Obama K, Tsunoda S, et al. Iatrogenic diaphragmatic hernia as a late complication of laparoscopic excisional biopsy of peritoneal nodules: A case report. Int J Surg Case Rep. 2020;67:169-172. Doi: 10.1016/j.ijscr.2020.01.044.
Pan SB, Zhang JB, Zhao BQ, et al. Delayed iatrogenic diaphragmatic hernia after thoracoscopic lobectomy. J Thorac Dis. 2016;8:e399-e402. Doi: 10.21037/jtd.2016.04.14.
Erdas E, Canu GL, Gordini L, et al. Emergency laparoscopic repair of giant left diaphragmatic hernia following minimally invasive esophagectomy: Description of a case and review of the literature. Case Rep Surg. 2018;2018:2961517. Doi: 10.1155/2018/2961517.
Hong TH, Choi YS. Delayed iatrogenic diaphragmatic hernia after left lower lobectomy. Korean J Thorac Cardiovasc Surg. 2017;50:456-459. Doi: 10.5090/kjtcs.2017.50.6.456.
Fukami T, Konoeda C, Kitano K, et al. Iatrogenic diaphragmatic hernia following partial resection of the lung via video-assisted thoracoscopy. Kyobu Geka. 2010;63:1151-1154.
Tsuda M, Yamaguchi T, Ichiki K, et al. Diaphragmatic hernia following pneumonectomy; report of a case. Kyobu Geka. 2006;59:255-257.
Piraccini E, Agnoletti V, Corso RM, et al. Left diaphragmatic hernia after pneumonectomy. HSR Proc Intensive Care Cardiovasc Anesth. 2010;2:299-300.
Ashour K, Jamieson K, Lakhoo K. A sternotomy too far. Interact Cardiovasc Thorac Surg. 2009;9:753-754. Doi: 10.1510/icvts.2009.206029.
Alkady H, Abbas MF, Abouramadan S, et al. Iatrogenic diaphragmatic hernia after pulmonary artery banding operation through median sternotomy. Indian J Thorac Cardiovasc Surg. 2019;35:94-96. doi: 10.1007/s12055-018-0723-2.
Eren S, Ciris F. Diaphragmatic hernia: diagnostic approaches with review of the literature. Eur J Radiol. 2005;54:448-459. Doi: 10.1016/j.ejrad.2004.09.008.
Blount AL, Craft RO, Harold KL, et al. Laparoscopic repair of a chronic iatrogenic diaphragmatic hernia. Radiol Case Rep. 2015;4:304. Doi: 10.2484/rcr.v4i3.304.
Crandall M, Popowich D, Shapiro M, et al. Posttraumatic hernias: historical overview and review of the literature. Am Surg. 2007;73:845-850.
Killeen KL, Mirvis SE, Shanmuganathan K. Helical CT of diaphragmatic rupture caused by blunt trauma. AJR Am J Roentgenol. 1999;173:1611-1616. doi:10.2214/ajr.173.6.10584809.
Lamontagne V, Lafreniere-Bessi V, Vieira A, et al. Post esophagectomy diaphragmatic hernia: A case report of a rare cause of acute respiratory distress. J Cardiothorac Surg. 2018;13:114. Doi: 10.1186/s13019-018-0802-x.
Antoniou SA, Muller Stich BP, Antoniou GA, et al. Laparoscopic augmentation of the diaphragmatic hiatus with biologic mesh versus suture repair: a systematic review and meta analysis. Langenbecks Arch Surg. 2015;400:577-583. Doi: 10.1007/s00423-015-1312-0.
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