Strangulated iatrogenic diaphragmatic hernia: a late diagnosed complication.
Three cases of iatrogenic diaphragmatic herniation are reported following thoracic and high abdominal surgery. Each case presented at least 6 months after the original surgery with symptoms of acute upper gastrointestinal obstruction. Diaphragmatic herniation was not considered in the initial differential diagnosis which lead to a delay in their referral. We emphasise the importance of checking the diaphragm following upper abdominal surgery and care when closing a defect.
Axon
P R
PR
Frenchay Hospital, Briistol, UK.
Whatling
P J
PJ
Dwerryhouse
S
S
Forrester-Wood
C P
CP
D000005:Abdomen / Q000601:surgery*; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D018662:Fundoplication / Q000009:adverse effects; D006548:Hernia, Diaphragmatic / Q000175:diagnosis / Q000209:etiology*; D006551:Hernia, Hiatal / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects; D011183:Postoperative Complications; D013277:Stomach Volvulus / Q000209:etiology; D013908:Thoracotomy / Q000009:adverse effects*