title: Large-bowel obstruction as a late sequela of retrosternal diaphragmatic hernia.
abstract: A 37-year-old man with a past history of a fall from height 16 years previously was admitted with acute abdomen. Investigations revealed intestinal obstruction caused by a diaphragmatic hernia. He had an incarcerated omentum and Richter's hernia of the transverse colon secondary to left diaphragmatic hernia leading to colonic ileus. Following resection of the strangulated omentum and reduction of the colon intraabdominally, a surgical repair of the hernia was performed using an abdominal and transthoracic approach. The relatively rare late complication of a left-sided enterothorax with ileus makes this a remarkable case and underlines the need for early surgery to avoid late complications.
authors.affiliation: Department of 5th General Surgery, Ankara Training and Research Hospital, Ulucanlar, Ankara, Turkey.
authors.forename: B
authors.initials: B
authors.lastname: Kaptanoglu
authors.forename: M
authors.initials: M
authors.lastname: Yildiz
authors.forename: A
authors.initials: A
authors.lastname: Taş
authors.forename: S
authors.initials: S
authors.lastname: Köklü
authors.forename: R
authors.initials: R
authors.lastname: Pekcici
authors.forename: A S
authors.initials: AS
authors.lastname: Karakayali
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology; D000328:Adult; D044684:Colon, Transverse / Q000000981:diagnostic imaging / Q000601:surgery; D003108:Colonic Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006549:Hernia, Diaphragmatic, Traumatic / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D008297:Male; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D011859:Radiography; D013908:Thoracotomy