A straightforward algorithm based mainly on contrast agent swallow for patients with small-bowel obstructions enabled a timely and very accurate differentiation between patients qualifying for conservative and operative treatment.
Highlights
Left-sided diaphragm hernias are rare after extensive upper abdominal debulking surgery in advanced stage ovarian cancer.
A left-sided diaphragm hernia can easily be misdiagnosed because patients may present with a variety of different symptoms.
After peritonectomy of the diaphragm, the diaphragm should be carefully checked for defects; any defect must be repaired.
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