Anterior mediastinal herniation of the transverse colon after an omental flap transposition.
Poststernotomy mediastinitis continues to be an infrequent but serious complication after cardiac surgery. We present a case of a 59-year-old man who developed a deep sternal wound infection after an emergency cardiac surgery. Omental transposition flap was used to cover the sternal defect. Several days later, the patient developed a transverse colon herniation into the anterior mediastinum that required emergency exploration and colon resection. The patient survived after a difficult hospital course. Indications, technical points, and possible complications of using omental flap transposition are discussed.
Halldorsson
Ari
A
Texas Tech University Health Sciences Center, Department of Surgery, Lubbock, Texas 79430, USA.
Meyerrose
Gary
G
Griswold
John
J
D000789:Angina, Unstable / Q000601:surgery; D003082:Colectomy; D003108:Colonic Diseases / Q000209:etiology* / Q000601:surgery; D001026:Coronary Artery Bypass / Q000009:adverse effects; D006547:Hernia / Q000209:etiology*; D059685:Herniorrhaphy; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000209:etiology; D008875:Middle Aged; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000209:etiology / Q000601:surgery*