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Delayed traumatic diaphragmatic hernia after open splenectomy: report of a case. 2008

Kazuto Tsuboi, and Nobuo Omura, and Hideyuki Kashiwagi, and Naruo Kawasaki, and Yutaka Suzuki, and Katsuhiko Yanaga
Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishishinbashi, Minato-ku, Tokyo 105-8461, Japan.

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.

UI MeSH Term Description Entries
D007813 Laparotomy Incision into the side of the abdomen between the ribs and pelvis. Minilaparotomy,Laparotomies,Minilaparotomies
D008223 Lymphoma A general term for various neoplastic diseases of the lymphoid tissue. Germinoblastoma,Lymphoma, Malignant,Reticulolymphosarcoma,Sarcoma, Germinoblastic,Germinoblastic Sarcoma,Germinoblastic Sarcomas,Germinoblastomas,Lymphomas,Lymphomas, Malignant,Malignant Lymphoma,Malignant Lymphomas,Reticulolymphosarcomas,Sarcomas, Germinoblastic
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D003937 Diagnosis, Differential Determination of which one of two or more diseases or conditions a patient is suffering from by systematically comparing and contrasting results of diagnostic measures. Diagnoses, Differential,Differential Diagnoses,Differential Diagnosis
D006549 Hernia, Diaphragmatic, Traumatic The type of DIAPHRAGMATIC HERNIA caused by TRAUMA or injury, usually to the ABDOMEN. Diaphragmatic Hernia, Traumatic,Diaphragmatic Hernias, Traumatic,Hernia, Traumatic Diaphragmatic,Hernias, Traumatic Diaphragmatic,Traumatic Diaphragmatic Hernia,Traumatic Diaphragmatic Hernias
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013156 Splenectomy Surgical procedure involving either partial or entire removal of the spleen. Splenectomies
D013160 Splenic Neoplasms Tumors or cancer of the SPLEEN. Cancer of Spleen,Spleen Cancer,Cancer of the Spleen,Neoplasms, Splenic,Spleen Neoplasms,Splenic Cancer,Cancer, Spleen,Cancer, Splenic,Cancers, Spleen,Cancers, Splenic,Neoplasm, Spleen,Neoplasm, Splenic,Neoplasms, Spleen,Spleen Cancers,Spleen Neoplasm,Splenic Cancers,Splenic Neoplasm

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