Acquired right-sided diaphragmatic hernia in a patient with retroperitoneal hydatidosis: a case report and review of the literature
| Autor: | Saeed Alshomimi, Omran AlDandan, Dhuha N Boumarah, Omar Alothman, Ali Alsinan |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Laparoscopic surgery Abdominal pain medicine.medical_specialty Diaphragmatic hernia medicine.medical_treatment Diaphragmatic breathing Early detection 03 medical and health sciences 0302 clinical medicine Echinococcosis parasitic diseases Retroperitoneal cyst Case report medicine Humans Retroperitoneal Space Aged business.industry General Medicine medicine.disease Hydatid disease Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Medicine Abdomen Laparoscopy 030211 gastroenterology & hepatology medicine.symptom Presentation (obstetrics) Hernias Diaphragmatic Congenital Tomography X-Ray Computed Complication business |
| Zdroj: | Journal of Medical Case Reports, Vol 15, Iss 1, Pp 1-7 (2021) Journal of Medical Case Reports |
| ISSN: | 1752-1947 |
| DOI: | 10.1186/s13256-021-02836-z |
| Popis: | BackgroundDiaphragmatic hernia is primarily congenital in origin and has potentially devastating pulmonary complications. Acquired diaphragmatic hernia as a complication of hydatid disease remains a rare clinical entity. Retroperitoneal hydatidosis, in particular is an exceptionally rare cause behind a similar presentation. This paper aims to present the first case of acquired diaphragmatic hernia likely caused by eroding retroperitoneal hydatid cysts and provide a succinct literature review regarding the causative association between hydatid disease and diaphragmatic defects.Case presentationA 71-year-old Saudi man, with a history of hydatid disease involving several areas including the retroperitoneum, presented with multiple episodes of shortness of breath and abdominal pain of 10 months’ duration. Computed tomography scans of the chest and abdomen demonstrated the presence of a large diaphragmatic defect, with herniation of bowel loops into the chest cavity. Initially, the patient underwent a diagnostic laparoscopy which was then converted to a posterolateral thoracotomy to repair the defect.ConclusionsThe ability of hydatid disease to involve several body organs makes diagnosis and management of resultant complications a challenge in some cases, like ours. Knowledge about a reported rare complication could enable early detection and management to avoid serious complications, including abdominal viscera incarceration and strangulation. |
| Databáze: | OpenAIRE |
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