Left Diaphragmatic Herniation following Orthotopic Liver Transplantation in an Adult
Diaphragmatic herniation is an uncommon complication in the postquirurgic follow of the liver transplant. The associated symptoms are unspecific and may not suggest the correct diagnosis. It may explain why in many patients the diagnosis remains unmade or it is made only after a long interval of tim...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2015/836142 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832550717500424192 |
|---|---|
| author | Adriá Rosat Ayaya Alonso Javier Padilla Pablo Sanz M. Aránzazu Varona Javier Méndiz Enrique Moneva Manuel Barrera |
| author_facet | Adriá Rosat Ayaya Alonso Javier Padilla Pablo Sanz M. Aránzazu Varona Javier Méndiz Enrique Moneva Manuel Barrera |
| author_sort | Adriá Rosat |
| collection | DOAJ |
| description | Diaphragmatic herniation is an uncommon complication in the postquirurgic follow of the liver transplant. The associated symptoms are unspecific and may not suggest the correct diagnosis. It may explain why in many patients the diagnosis remains unmade or it is made only after a long interval of time. We present the case of a fifty-seven-year-old male who required an orthotopic liver transplant in 2010 due to a trifocal hepatocarcinoma. In postoperatory follow-up the patient showed alimentary regurgitation, vomiting, and dyspepsia. The diagnosis was made by an oesophagogastroduodenal transit with barium and an abdominal CT scan that showed a left diaphragmatic herniation with the gastric fundus into the thorax. With these findings we decided to perform a programmed surgery. After takedown of adhesions and replacement of the stomach into the upper abdomen, the palm-sized diaphragmatic opening was closed with a synthetic material. The patient’s condition remained stable throughout the entire operation. The postoperative course was uneventful and he was discharged at the fifth day after surgery with a normal digestive intake. In a 12-month follow-up the patient shows no symptoms. |
| format | Article |
| id | doaj-art-ab01cbeda7b5428e9f1bf877b7df2b39 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-ab01cbeda7b5428e9f1bf877b7df2b392025-02-03T06:05:59ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/836142836142Left Diaphragmatic Herniation following Orthotopic Liver Transplantation in an AdultAdriá Rosat0Ayaya Alonso1Javier Padilla2Pablo Sanz3M. Aránzazu Varona4Javier Méndiz5Enrique Moneva6Manuel Barrera7Division of General Surgery, Department of Surgery, Hospital Universitario Nuestra Señora de Candelaria, Carretera Del Rosario 145, 38010 Santa Cruz de Tenerife, SpainDivision of Transplantation Surgery Unit, Department of Surgery, Hospital Universitario Nuestra Señora de Candelaria, Carretera Del Rosario 145, 38010 Santa Cruz de Tenerife, SpainDivision of Transplantation Surgery Unit, Department of Surgery, Hospital Universitario Nuestra Señora de Candelaria, Carretera Del Rosario 145, 38010 Santa Cruz de Tenerife, SpainDivision of Transplantation Surgery Unit, Department of Surgery, Hospital Universitario Nuestra Señora de Candelaria, Carretera Del Rosario 145, 38010 Santa Cruz de Tenerife, SpainDivision of Transplantation Surgery Unit, Department of Surgery, Hospital Universitario Nuestra Señora de Candelaria, Carretera Del Rosario 145, 38010 Santa Cruz de Tenerife, SpainDivision of Transplantation Surgery Unit, Department of Surgery, Hospital Universitario Nuestra Señora de Candelaria, Carretera Del Rosario 145, 38010 Santa Cruz de Tenerife, SpainDivision of Transplantation Surgery Unit, Department of Surgery, Hospital Universitario Nuestra Señora de Candelaria, Carretera Del Rosario 145, 38010 Santa Cruz de Tenerife, SpainTransplantation Surgery Unit and General Surgery Service, Hospital Universitario Nuestra Señora de Candelaria, Carretera Del Rosario 145, 38010 Santa Cruz de Tenerife, SpainDiaphragmatic herniation is an uncommon complication in the postquirurgic follow of the liver transplant. The associated symptoms are unspecific and may not suggest the correct diagnosis. It may explain why in many patients the diagnosis remains unmade or it is made only after a long interval of time. We present the case of a fifty-seven-year-old male who required an orthotopic liver transplant in 2010 due to a trifocal hepatocarcinoma. In postoperatory follow-up the patient showed alimentary regurgitation, vomiting, and dyspepsia. The diagnosis was made by an oesophagogastroduodenal transit with barium and an abdominal CT scan that showed a left diaphragmatic herniation with the gastric fundus into the thorax. With these findings we decided to perform a programmed surgery. After takedown of adhesions and replacement of the stomach into the upper abdomen, the palm-sized diaphragmatic opening was closed with a synthetic material. The patient’s condition remained stable throughout the entire operation. The postoperative course was uneventful and he was discharged at the fifth day after surgery with a normal digestive intake. In a 12-month follow-up the patient shows no symptoms.http://dx.doi.org/10.1155/2015/836142 |
| spellingShingle | Adriá Rosat Ayaya Alonso Javier Padilla Pablo Sanz M. Aránzazu Varona Javier Méndiz Enrique Moneva Manuel Barrera Left Diaphragmatic Herniation following Orthotopic Liver Transplantation in an Adult Case Reports in Surgery |
| title | Left Diaphragmatic Herniation following Orthotopic Liver Transplantation in an Adult |
| title_full | Left Diaphragmatic Herniation following Orthotopic Liver Transplantation in an Adult |
| title_fullStr | Left Diaphragmatic Herniation following Orthotopic Liver Transplantation in an Adult |
| title_full_unstemmed | Left Diaphragmatic Herniation following Orthotopic Liver Transplantation in an Adult |
| title_short | Left Diaphragmatic Herniation following Orthotopic Liver Transplantation in an Adult |
| title_sort | left diaphragmatic herniation following orthotopic liver transplantation in an adult |
| url | http://dx.doi.org/10.1155/2015/836142 |
| work_keys_str_mv | AT adriarosat leftdiaphragmaticherniationfollowingorthotopiclivertransplantationinanadult AT ayayaalonso leftdiaphragmaticherniationfollowingorthotopiclivertransplantationinanadult AT javierpadilla leftdiaphragmaticherniationfollowingorthotopiclivertransplantationinanadult AT pablosanz leftdiaphragmaticherniationfollowingorthotopiclivertransplantationinanadult AT maranzazuvarona leftdiaphragmaticherniationfollowingorthotopiclivertransplantationinanadult AT javiermendiz leftdiaphragmaticherniationfollowingorthotopiclivertransplantationinanadult AT enriquemoneva leftdiaphragmaticherniationfollowingorthotopiclivertransplantationinanadult AT manuelbarrera leftdiaphragmaticherniationfollowingorthotopiclivertransplantationinanadult |