Premium
A case of diaphragmatic hernia incarceration after a heart transplant operation
Author(s) -
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
Publication year - 2021
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12811
Subject(s) - medicine , diaphragmatic hernia , diaphragmatic breathing , thoracic cavity , surgery , diaphragm (acoustics) , hernia , thorax (insect anatomy) , transverse colon , vomiting , congenital diaphragmatic hernia , stomach , anatomy , fetus , pregnancy , physics , genetics , biology , acoustics , loudspeaker , alternative medicine , pathology
Abstract 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.