Ruptured hemidiaphragm after bilateral lung transplantation.
A case of right hemidiaphragm rupture and abdominal herniation into the thorax occurring during the immediate post-operative course of double-lung transplantation is reported. This complication has not been reported previously. We examine the possible aetiology and suggest that the direct cause could be an increase in intra-abdominal pressure during chest physiotherapy.
Gómez-Arnau
J
J
Servicio de Anestesiología-Reanimación, Hospital Puerta de Hierro, Madrid, Spain.
Novoa
N
N
Isidro
M G
MG
Plaza
A
A
Galindo
F
F
Ezquerro
C
C
D000005:Abdomen; D003964:Diaphragm / Q000293:injuries*; D006548:Hernia, Diaphragmatic / Q000209:etiology*; D006801:Humans; D016040:Lung Transplantation / Q000009:adverse effects* / Q000534:rehabilitation; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities / Q000009:adverse effects; D011312:Pressure; D011656:Pulmonary Emphysema / Q000601:surgery; D012421:Rupture