Laparoscopic management of delayed traumatic left diaphragmatic hernia with intrathoracic kidney: A rare case report and technical aspects
Occult traumatic diaphragmatic hernias (DHs) are relatively rare and may present years after the trauma. Clinical presentations range from asymptomatic incidental findings on imaging to life-threatening incarceration of abdominal organs. Traumatic migration of the kidney into the thorax is a very un...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-04-01
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| Series: | International Journal of Abdominal Wall and Hernia Surgery |
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| Online Access: | https://doi.org/10.4103/ijawhs.ijawhs_68_23 |
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| author | Ganesh K. Shenoy Marina Thomas Ramesh B. Shamburao Nawab Jan |
| author_facet | Ganesh K. Shenoy Marina Thomas Ramesh B. Shamburao Nawab Jan |
| author_sort | Ganesh K. Shenoy |
| collection | DOAJ |
| description | Occult traumatic diaphragmatic hernias (DHs) are relatively rare and may present years after the trauma. Clinical presentations range from asymptomatic incidental findings on imaging to life-threatening incarceration of abdominal organs. Traumatic migration of the kidney into the thorax is a very uncommon event. We herein report a rare case of a 34-year-old male patient with a symptomatic DH secondary to a motor vehicle accident and a history of laparotomy for liver laceration 10 years back who underwent laparoscopic reduction and intraabdominal reposition of left kidney from thorax, suture repair of the defect with mesh reinforcement. Thoracoscopic visualization was performed to assess the efficiency and completeness of the repair and to rule out any iatrogenic pericardial injury after mesh fixation. The operative technique, difficulties encountered, and tips to overcome these challenges were discussed. With adequate expertise, reduction, and repositioning of migrated kidney, suture closure of the defect with mesh reinforcement is safe and feasible by laparoscopic approach. |
| format | Article |
| id | doaj-art-923a0f843f5149f3bc1890258e5d352a |
| institution | Kabale University |
| issn | 2589-8736 2589-8078 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Abdominal Wall and Hernia Surgery |
| spelling | doaj-art-923a0f843f5149f3bc1890258e5d352a2025-01-25T10:01:22ZengWolters Kluwer Medknow PublicationsInternational Journal of Abdominal Wall and Hernia Surgery2589-87362589-80782024-04-0172939810.4103/ijawhs.ijawhs_68_23Laparoscopic management of delayed traumatic left diaphragmatic hernia with intrathoracic kidney: A rare case report and technical aspectsGanesh K. ShenoyMarina ThomasRamesh B. ShamburaoNawab JanOccult traumatic diaphragmatic hernias (DHs) are relatively rare and may present years after the trauma. Clinical presentations range from asymptomatic incidental findings on imaging to life-threatening incarceration of abdominal organs. Traumatic migration of the kidney into the thorax is a very uncommon event. We herein report a rare case of a 34-year-old male patient with a symptomatic DH secondary to a motor vehicle accident and a history of laparotomy for liver laceration 10 years back who underwent laparoscopic reduction and intraabdominal reposition of left kidney from thorax, suture repair of the defect with mesh reinforcement. Thoracoscopic visualization was performed to assess the efficiency and completeness of the repair and to rule out any iatrogenic pericardial injury after mesh fixation. The operative technique, difficulties encountered, and tips to overcome these challenges were discussed. With adequate expertise, reduction, and repositioning of migrated kidney, suture closure of the defect with mesh reinforcement is safe and feasible by laparoscopic approach.https://doi.org/10.4103/ijawhs.ijawhs_68_23diaphragmatic herniaintrathoracic kidneylaparoscopic reduction of intrathoracic kidneytraumatic diaphragmatic hernia |
| spellingShingle | Ganesh K. Shenoy Marina Thomas Ramesh B. Shamburao Nawab Jan Laparoscopic management of delayed traumatic left diaphragmatic hernia with intrathoracic kidney: A rare case report and technical aspects International Journal of Abdominal Wall and Hernia Surgery diaphragmatic hernia intrathoracic kidney laparoscopic reduction of intrathoracic kidney traumatic diaphragmatic hernia |
| title | Laparoscopic management of delayed traumatic left diaphragmatic hernia with intrathoracic kidney: A rare case report and technical aspects |
| title_full | Laparoscopic management of delayed traumatic left diaphragmatic hernia with intrathoracic kidney: A rare case report and technical aspects |
| title_fullStr | Laparoscopic management of delayed traumatic left diaphragmatic hernia with intrathoracic kidney: A rare case report and technical aspects |
| title_full_unstemmed | Laparoscopic management of delayed traumatic left diaphragmatic hernia with intrathoracic kidney: A rare case report and technical aspects |
| title_short | Laparoscopic management of delayed traumatic left diaphragmatic hernia with intrathoracic kidney: A rare case report and technical aspects |
| title_sort | laparoscopic management of delayed traumatic left diaphragmatic hernia with intrathoracic kidney a rare case report and technical aspects |
| topic | diaphragmatic hernia intrathoracic kidney laparoscopic reduction of intrathoracic kidney traumatic diaphragmatic hernia |
| url | https://doi.org/10.4103/ijawhs.ijawhs_68_23 |
| work_keys_str_mv | AT ganeshkshenoy laparoscopicmanagementofdelayedtraumaticleftdiaphragmaticherniawithintrathoracickidneyararecasereportandtechnicalaspects AT marinathomas laparoscopicmanagementofdelayedtraumaticleftdiaphragmaticherniawithintrathoracickidneyararecasereportandtechnicalaspects AT rameshbshamburao laparoscopicmanagementofdelayedtraumaticleftdiaphragmaticherniawithintrathoracickidneyararecasereportandtechnicalaspects AT nawabjan laparoscopicmanagementofdelayedtraumaticleftdiaphragmaticherniawithintrathoracickidneyararecasereportandtechnicalaspects |