Postoperative colonic perforation in a right-sided congenital diaphragmatic hernia in an adult.
Congenital posterolateral hernias rarely present in the adult. We describe an unusual case that presented after a routine total abdominal hysterectomy. The patient developed acute respiratory symptoms caused by a perforated colon and hypoplastic right hemi-liver contained within a right-sided hernia. There was also an associated hypoplastic right lung. The hernia was repaired through a midline laparotomy, with no long-term complications.
Department of Surgery, The Queen Elizabeth Hospital, University of Adelaide, Adelaide, SA, Australia.
Fiona G
FG
Court
Simon A
SA
Wemyss-Holden
Guy J
GJ
Maddern
D000328:Adult; D003108:Colonic Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005260:Female; D006548:Hernia, Diaphragmatic / Q000150:complications* / Q000601:surgery; D065630:Hernias, Diaphragmatic, Congenital; D059685:Herniorrhaphy; D006801:Humans; D007044:Hysterectomy; D007416:Intestinal Perforation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery*; D014057:Tomography, X-Ray Computed