Incarcerated Thoracic Gastric Herniation after Nephrectomy: A Report of Two Cases
Iatrogenic diaphragmatic hernias can occur after abdominal or thoracic surgery. Acute presentation of a diaphragmatic hernia varies depending on the extent and nature of the organ which has herniated. The initial diagnosis can be challenging due to the nonspecific nature of the presenting symptoms....
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2013/896452 |
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| author | Conall Fitzgerald Orla Mc Cormack Faisal Awan Jessie Elliott Narayanasamy Ravi John V. Reynolds |
| author_facet | Conall Fitzgerald Orla Mc Cormack Faisal Awan Jessie Elliott Narayanasamy Ravi John V. Reynolds |
| author_sort | Conall Fitzgerald |
| collection | DOAJ |
| description | Iatrogenic diaphragmatic hernias can occur after abdominal or thoracic surgery. Acute presentation of a diaphragmatic hernia varies depending on the extent and nature of the organ which has herniated. The initial diagnosis can be challenging due to the nonspecific nature of the presenting symptoms. Delay in diagnosis poses a significant risk to the patient, and a rapid deterioration can occur in the context of strangulation. We outline two cases of acute gastric herniation through a defect in the diaphragm after an open and a laparoscopic nephrectomy. Both had characteristic findings on imaging, required emergency, surgery and had a successful outcome. Both cases highlight the potential for late presentation with non-specific symptoms and the necessity for urgent surgical management where gastric perfusion is compromised. |
| format | Article |
| id | doaj-art-4ec46e0cbb9d4165b8bd75dc7f1e7a62 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-4ec46e0cbb9d4165b8bd75dc7f1e7a622025-02-03T01:02:35ZengWileyCase Reports in Surgery2090-69002090-69192013-01-01201310.1155/2013/896452896452Incarcerated Thoracic Gastric Herniation after Nephrectomy: A Report of Two CasesConall Fitzgerald0Orla Mc Cormack1Faisal Awan2Jessie Elliott3Narayanasamy Ravi4John V. Reynolds5Department of Surgery, St. James's Hospital, Dublin 8, IrelandDepartment of Surgery, St. James's Hospital, Dublin 8, IrelandDepartment of Surgery, St. James's Hospital, Dublin 8, IrelandDepartment of Surgery, St. James's Hospital, Dublin 8, IrelandDepartment of Surgery, St. James's Hospital, Dublin 8, IrelandDepartment of Surgery, St. James's Hospital, Dublin 8, IrelandIatrogenic diaphragmatic hernias can occur after abdominal or thoracic surgery. Acute presentation of a diaphragmatic hernia varies depending on the extent and nature of the organ which has herniated. The initial diagnosis can be challenging due to the nonspecific nature of the presenting symptoms. Delay in diagnosis poses a significant risk to the patient, and a rapid deterioration can occur in the context of strangulation. We outline two cases of acute gastric herniation through a defect in the diaphragm after an open and a laparoscopic nephrectomy. Both had characteristic findings on imaging, required emergency, surgery and had a successful outcome. Both cases highlight the potential for late presentation with non-specific symptoms and the necessity for urgent surgical management where gastric perfusion is compromised.http://dx.doi.org/10.1155/2013/896452 |
| spellingShingle | Conall Fitzgerald Orla Mc Cormack Faisal Awan Jessie Elliott Narayanasamy Ravi John V. Reynolds Incarcerated Thoracic Gastric Herniation after Nephrectomy: A Report of Two Cases Case Reports in Surgery |
| title | Incarcerated Thoracic Gastric Herniation after Nephrectomy: A Report of Two Cases |
| title_full | Incarcerated Thoracic Gastric Herniation after Nephrectomy: A Report of Two Cases |
| title_fullStr | Incarcerated Thoracic Gastric Herniation after Nephrectomy: A Report of Two Cases |
| title_full_unstemmed | Incarcerated Thoracic Gastric Herniation after Nephrectomy: A Report of Two Cases |
| title_short | Incarcerated Thoracic Gastric Herniation after Nephrectomy: A Report of Two Cases |
| title_sort | incarcerated thoracic gastric herniation after nephrectomy a report of two cases |
| url | http://dx.doi.org/10.1155/2013/896452 |
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