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Inicio Cirugía Española (English Edition) Postesophagectomy diaphragmatic hernia
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Vol. 100. Issue 6.
Pages 368 (June 2022)
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Postesophagectomy diaphragmatic hernia
Hernia diafragmática postesofaguectomía
Ana Lozano Nájera
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, Jose Ignacio Martín Parra, Juan Carlos Rodríguez Sanjuan
Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Marqués de Valdecilla, Santander, Spain
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A 77-year-old male patient with a history of total esophagectomy in three fields came to the emergency department due to sudden abdominal pain and vomiting. He presented with pain in the epigastrium and hypoventilation of the right hemithorax. Computed tomography scan revealed posterior diaphragmatic hernia with signs of intestinal obstruction and incipient intestinal distress (Fig. 1). We decided to perform urgent laparotomy to reduce the hernia from the abdomen, without the need for intestinal resection due to the viability of the intestine (Fig. 2). Afterwards, we conducted tension-free closure of the crura of the diaphragm using non-absorbable suture. The postoperative patient evolution was satisfactory, and follow-up imaging studies 8 months later detected no hernia recurrence.

Figure 1
Figure 2

Post-esophagectomy diaphragmatic hernia.

Please cite this article as: Lozano Nájera A, Martín Parra JI, Rodríguez Sanjuan JC. Hernia diafragmática postesofaguectomía. Cir Esp. 2022;100:368.

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