title: Ruptured hemidiaphragm after bilateral lung transplantation.
abstract: 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.
authors.affiliation: Servicio de Anestesiología-Reanimación, Hospital Puerta de Hierro, Madrid, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Gómez-Arnau
authors.forename: N
authors.initials: N
authors.lastname: Novoa
authors.forename: M G
authors.initials: MG
authors.lastname: Isidro
authors.forename: A
authors.initials: A
authors.lastname: Plaza
authors.forename: F
authors.initials: F
authors.lastname: Galindo
authors.forename: C
authors.initials: C
authors.lastname: Ezquerro
mesh_terms: 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