Asian journal of endoscopic surgery · 2020
A case of diaphragmatic hernia incarceration after a heart transplant operation.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Sasaki Masaru, Takahashi Tsuyoshi, Funaki Soichiro, Tanaka Koji, Miyazaki Yasuhiro, Ose Naoko, Makino Tomoki, Kurokawa Yukinori, Yamasaki Makoto, Nakajima Kiyokazu, Shintani Yasushi, Mori Masaki, Doki Yuichiro
Аннотация
We report a case of a diaphragmatic hernia after a heart transplant operation. A 43-year-old woman, who underwent orthotropic heart transplantation for hypertrophic cadiomyopathy two year earlier, presented with vomiting and epigastric pain. A computed tomography scan showed that the stomach and transverse colon were dislocated in the left thoracic cavity. We diagnosed left diaphragmatic hernia incarceration and performed laparoscopic repair of the diaphragmatic hernia. A 12 × 8 cm diaphragmatic defect was found intraoperatively on the ventrolateral aspect of the left diaphragm, and the stomach with volvulus had herniated into the thorax through the defect. The hernia was considered to be iatrogenic. The diaphragmatic defect was large, and the diaphragm was thinning. We closed the defect by mesh repair. Laparoscopic mesh repair of the diaphragmatic hernia could be performed safely and with minimal invasiveness.