Hernia of the diaphragm with gastric ulcer and volvulus: an unusual complication after diaphragmatic resection by VATS.
We present a 45-year-old female patient who developed diaphragmatic rupture and secondary hernia following a diaphragmatic resection for a diaphragmatic abnormality with spontaneous pneumothorax performed by endoscopic stapling in video-assisted thoracoscopic surgery (VATS). This complication can be avoided by careful direct repair of the diaphragmatic incision in addition to endoscopic stapling.
Department of Surgery, Teikyo School of Medicine, 11-1 Kaga 2-Chome, Itabashi-Ku, Tokyo 173, Japan. takanami@med.teikyo-u.ac.jp
Iwao
I
Takanami