Right-sided diaphragmatic rupture after repair of a large Morgagni hernia
| Autor: | J. G. Koch, K. W. Jauch, N. P. Zügel, Tobias S. Schiergens, Axel Kleespies, A. Graser, P. N. Khalil |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Diaphragm Diaphragmatic breathing Recurrence Palpitations Humans Medicine Diaphragmatic hernia Hernia Herniorrhaphy Hernia Diaphragmatic Diaphragmatic rupture business.industry Middle Aged Surgical Mesh medicine.disease Diaphragm (structural system) Surgery Radiography Surgical mesh medicine.symptom Hernias Diaphragmatic Congenital business Abdominal surgery |
| Zdroj: | Hernia. 19:671-675 |
| ISSN: | 1248-9204 1265-4906 |
| DOI: | 10.1007/s10029-013-1167-7 |
| Popis: | We present a case of a combination of primary and secondary diaphragmatic hernia in a 63-year male patient. For progressive dyspnea and palpitations caused by a large and symptomatic Morgagni hernia resulting in a right-sided enterothorax, an open tension-free mesh repair was performed. The postoperative course was complicated by a secondary hepatothorax through a spontaneous rupture of the right diaphragm. Primary mesh repair of the Morgagni hernia, however, proved to be sufficient. This recurrent herniation might be a consequence of (1) preexisting atrophy of the right diaphragm caused by disposition and/or long-term diaphragmatic dysfunction due to the large hernia, combined with (2) further thinning out of the diaphragm by intraoperative hernia sac resection, and (3) postoperative increase of intra-abdominal pressure. |
| Databáze: | OpenAIRE |
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