Hernia diafragmática gigante complicada, una entidad infrecuente pero grave y de compleja reparación

Ana Baeza Carrión; Rebeca Saeta Campo; María de los Ángeles Cornejo López; Vicente Soler Ferriz; Paula Velayos García

doi:10.31837/cir.urug/5.1.1

Complicated giant diaphragmatic hernia, a rare but serious entity with complex repair

Authors

Ana Baeza Carrión Servicio de Cirugía General, Hospital Marina Baixa, Villajoyosa, Alicante, España https://orcid.org/0000-0002-7798-3354
Rebeca Saeta Campo Servicio de Cirugía General, Hospital Marina Baixa, Villajoyosa, Alicante, España https://orcid.org/0000-0002-1778-1718
María de los Ángeles Cornejo López Servicio de Cirugía General, Hospital Marina Baixa, Villajoyosa, Alicante, España https://orcid.org/0000-0002-6869-020X
Vicente Soler Ferriz Servicio de Cirugía General, Hospital Marina Baixa, Villajoyosa, Alicante, España https://orcid.org/0000-0002-3994-8136
Paula Velayos García Servicio de Cirugía General, Hospital Marina Baixa, Villajoyosa, Alicante, España https://orcid.org/0000-0002-2998-6614

DOI:

https://doi.org/10.31837/cir.urug/5.1.1

Keywords:

hernia, diaphragma, surgery

Abstract

A 68-year-old man with COPD and right lung adenocarcinoma treated with chemoradiotherapy. He came to the emergency room for intense epigastric pain of 12 hours of evolution, without previous trauma.

An urgent CT scan revealed a left anterior diaphragmatic herniation with abundant intrathoracic jejunal loops next to the colonic splenic flexure (Fig. 1, 2 and 3). They present marked dilation, interase fluid and a change in caliber, compatible with torsion of the mesenteric pedicle, obstruction and intestinal distress.

He was operated on urgently, showing a non-traumatic hernial ring (congenital, probably Bochdalek) that compresses and necrotic the jejunum and splenic flexure. Hernia repair was performed with intestinal and segmental colon resection. Diaphragmatic hernia repair included exposure of the defect and continuous suture with resorbable material, avoiding the placement of prosthetic mesh due to the high risk of intestinal anastomosis leakage and subsequent infection. Favorable postoperative evolution, currently being followed up in consultations.

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References

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Published

2020-09-01

How to Cite

Baeza Carrión A, Saeta Campo R, Cornejo López M de los Ángeles, Soler Ferriz V, Velayos García P. Complicated giant diaphragmatic hernia, a rare but serious entity with complex repair. Cir. Urug. [Internet]. 2020 Sep. 1 [cited 2024 Jul. 3];5(1):1-3. Available from: https://revista.scu.org.uy/index.php/cir_urug/article/view/1912

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Vol. 5 No. 1 (2021): Revista Cirugía del Uruguay

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