Diaphragmatic Hernia With Secondary Pneumothorax Due to Intestinal Perforation After Thoracoabdominal Aortic Aneurysm Operation: A Case Report

A male in his 70s with a history of artificial vessel replacement for a thoracoabdominal aneurysm had been treated non-operatively for adhesive bowel obstruction during the past two months. The initial symptom was nausea and the patient was transferred to our hospital because of diffuse abdominal pa...

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Published inCurēus (Palo Alto, CA) Vol. 16; no. 6; p. e61616
Main Authors Nishimura, Kazuki, Hayasaka, Satoshi
Format Journal Article
LanguageEnglish
Published Palo Alto Cureus Inc 03.06.2024
Cureus
Subjects
Abdomen
Anesthesiology
Angina pectoris
Angioplasty
Aortic aneurysms
Blood pressure
Case reports
Diaphragm (Anatomy)
Gastroenterology
Gastrointestinal diseases
General Surgery
Heart attacks
Hernias
Hypotension
Intestinal obstruction
Patients
Pneumothorax
Small intestine
Surgery
Tomography
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Summary:A male in his 70s with a history of artificial vessel replacement for a thoracoabdominal aneurysm had been treated non-operatively for adhesive bowel obstruction during the past two months. The initial symptom was nausea and the patient was transferred to our hospital because of diffuse abdominal pain. Computed tomography revealed pneumothorax, diaphragmatic hernia, and bowel perforation. A left thoracic drain was inserted and air and clear yellow fluid were drained. Secondary pneumothorax was presumably caused by intestinal perforation associated with diaphragmatic hernia. Although reported cases with secondary pneumothorax associated with diaphragmatic hernia and intestinal perforation are caused by trauma, this complication can occur postoperatively.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.61616