Delayed iatrogenic diaphragmatic hernia after thoracoscopic lobectomy

Postoperative iatrogenic diaphragmatic hernia after thoracoscopic lobectomy is extremely rare. We present a 55-year-old female patient who developed an iatrogenic diaphragmatic hernia with gastric perforation several months after VATS (video-assisted thoracic surgery) left upper lobectomy with syste...

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Bibliographic Details
Published inJournal of thoracic disease Vol. 8; no. 6; pp. E399 - E402
Main Authors Pan, Sai-Bo, Zhang, Jian-Bin, Zhao, Bai-Qin, Chai, Ying
Format Journal Article
LanguageEnglish
Published China AME Publishing Company 01.06.2016
Subjects
Case Report
Iatrogenic diaphragmatic hernia
gastric perforation
choledochoscopy
video-assisted thoracic surgery
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Summary:Postoperative iatrogenic diaphragmatic hernia after thoracoscopic lobectomy is extremely rare. We present a 55-year-old female patient who developed an iatrogenic diaphragmatic hernia with gastric perforation several months after VATS (video-assisted thoracic surgery) left upper lobectomy with systematic lymphadenectomy. During the readmission, urgent laparotomy was performed. Intraoperatively, the choledochoscopy was introduced into left thoracic cavity through the diaphragmatic defect for dissecting the secondary inflammatory adhesions and achieving satisfactory hemostasis. It appears to be an efficient and feasible approach for the patients who have been diagnosed as delayed diaphragmatic hernia concomitant with remarkable intra-abdominal findings and have a history of thoracic surgery. We consider that delayed-onset diaphragmatic hernia should be suspected in patients complaining of nausea or vomiting after VATS procedure, although it is very rare.
ISSN:2072-1439
2077-6624
DOI:10.21037/jtd.2016.04.14