title: Delayed traumatic diaphragmatic hernia after open splenectomy: report of a case.
abstract: A 50-year-old man experienced sudden chest pain radiating into his left shoulder about 16 months after undergoing an open splenectomy for malignant splenic lymphoma. As the patient did not respond to conservative therapy, he was transferred to our hospital. Computed tomography of the chest showed that the upper stomach had herniated into the thoracic cavity. Emergency surgery revealed that the hernial sac was partially torn and open to the thoracic cavity. We sutured the hernial orifice closed and performed Dor fundoplication. Although sporadic reports on this type of hernia following laparoscopic surgery have been reported, delayed diaphragmatic hernia following open splenectomy is rare.
authors: Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishishinbashi, Minato-ku, Tokyo 105-8461, Japan.
authors: Kazuto
authors: K
authors: Tsuboi
authors: Nobuo
authors: N
authors: Omura
authors: Hideyuki
authors: H
authors: Kashiwagi
authors: Naruo
authors: N
authors: Kawasaki
authors: Yutaka
authors: Y
authors: Suzuki
authors: Katsuhiko
authors: K
authors: Yanaga
mesh_terms: D003937:Diagnosis, Differential; D018662:Fundoplication / Q000379:methods; D006549:Hernia, Diaphragmatic, Traumatic / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007813:Laparotomy; D008223:Lymphoma / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013902:Radiography, Thoracic; D013156:Splenectomy / Q000009:adverse effects*; D013160:Splenic Neoplasms / Q000601:surgery; D013997:Time Factors; D014057:Tomography, X-Ray Computed