Gangrenous intrathoracic appendicitis, a rare cause of right-sided chest pain: Report of a case

Schellhaas, Elisabeth; Döbler, Oliver; Kroesen, Anton-J.; Buhr, H. J.; Hotz, Hubert G.

doi:10.1007/s00595-009-4172-9

Cited by 8 publications

(6 citation statements)

References 12 publications

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“…The selected studies included 6 case reports, 6 9 11 14 16 17 4 retrospective case series, 4 7 8 12 2 letters to the editor, 10 15 and 2 original articles 13 18 ( Table 2 ). 4 6 7 8 9 10 11 12 13 14 15 16 17 18 Overall, 28 cases of DH after LR have been described (excluding our 3 cases). The most common indication of LR were as follows: living donor liver procurement in 11 cases (39.4%), liver metastases in 6 cases (21.4%), HCC in 2 cases (7.1%), adenoma in 2 cases (7.1%), focal nodular hyperplasia in one case (3.6%), and others in 6 cases (21.4%).…”

Section: Resultsmentioning

confidence: 99%

“…In our experience, this complication was not associated with mortality. However, in the literature review ( Table 1 ), 4 6 7 8 9 10 11 12 13 14 15 16 17 18 one patient died 3 months after hepatectomy, secondary to sepsis from a segment of small bowel that perforated into the DH. 13 This suggests that even though this complication is rare, it should be repaired surgically, even for asymptomatic patients.…”

Section: Discussionmentioning

confidence: 99%

“…The literature review revealed 18 cases and 10 cases of DH following LR, for liver tumors and in the setting of living liver donor, respectively. 4 6 7 8 9 10 11 12 13 14 15 16 17 18 …”

Section: Introductionmentioning

confidence: 99%

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Diaphragmatic hernia following liver resection: case series and review of the literature

Esposito

Lim

Salloum

et al. 2017

Ann Hepatobiliary Pancreat Surg

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Backgrounds/AimsPostoperative diaphragmatic hernia, following liver resection, is a rare complication.MethodsData of patients who underwent major hepatectomy for liver tumors, between 2011 and 2015 were retrospectively reviewed. The literature was searched for studies reporting the occurrence of diaphragmatic hernia following liver resection.ResultsDiaphragmatic hernia developed in 2.3% of patients (3/131) with a median delay of 14 months (4-31 months). One patient underwent emergency laparotomy for bowel obstruction and two patients underwent elective diaphragmatic hernia repair. At last follow-up, no recurrences were observed. Fourteen studies including 28 patients were identified in the literature search (donor hepatectomy, n=11: hepatectomy for liver tumors, n=17). Diaphragmatic hernia was repaired emergently in 42.9% of cases and digestive resection was necessary in 28.5% of the cases. One patient died 3 months after hepatectomy, secondary to sepsis, from a segment of small bowel that perforated into the diaphragmatic hernia.ConclusionsAlthough rare, diaphragmatic hernia should be considered as an important complication, especially in living donor liver transplant patients. Diaphragmatic hernia should be repaired surgically, even for asymptomatic patients.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Diaphragmatic hernia following liver resection: case series and review of the literature

Esposito

Lim

Salloum

et al. 2017

Ann Hepatobiliary Pancreat Surg

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“…Fluoroscopic-aided colonoscopy is very useful for investigating the cause of necrotizing fasciitis. Acute appendicitis is one of the most common diseases encountered in clinical practice; however, we should bear in mind that unusual complications can occur, such as necrotizing fasciitis and gangrenous intrathoracic appendicitis caused by incarceration of diaphragmatic hernia, as reported by Schellhaas et al [19]. …”

Section: Discussionmentioning

confidence: 99%

Necrotizing fasciitis caused by a primary appendicocutaneous fistula

et al. 2012

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We report a case of necrotizing fasciitis in the loin of a 76-year old man with several coexisting or past health issues, including diabetes mellitus, hypertension, alcohol-related liver cirrhosis, gastrectomy for gastric cancer, subarachnoid hemorrhage, normal pressure hydrocephalus, and cerebral infarction. Incision of the necrotizing fasciitis was successful, but it revealed an appendicocutaneous fistula; thus, we performed appendectomy and fistulectomy. We think that the necrotizing fasciitis was caused by appendicitis perforation involving the retroperitoneum, inducing the formation of an appendicocutaneous fistula. Necrotizing fasciitis and appendicocutaneous fistulae are rare complications of appendicitis. Moreover, to our knowledge, this is the first report of fluoroscopic examination demonstrating that a primary appendicocutaneous fistula had caused necrotizing fasciitis. Our search of the literature found 12 cases of necrotizing fasciitis caused by preoperative appendicitis. We discuss the characteristics and findings of these cases.

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“…These reported cases have typically presented with chest pain, which would be expected given that the inflammatory process is intrathoracic. [7][8][9][10] There has been one other case of intrathoracic appendicitis presenting with classic signs and symptoms of appendicitis. Barakat and Vickers 11 reported a case wherein a woman with marfanoid features was found to have intrathoracic appendicitis.…”

Section: Discussionmentioning

confidence: 99%

Perforated Appendicitis Within a Morgagni Hernia: A Laparoscopic Repair

Clark

Tabak

Schlussel

et al. 2014

CRSLS

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Laparoscopic repair of a Morgagni hernia is a well-described technique in children or adults who present well beyond the neonatal period. However, it is still most often being repaired by an open approach. This repair can be more challenging when a concomitant infectious process is present, which in this case was a perforated appendicitis. A 22-year-old man presented with typical appendicitis but was found to have a perforated appendicitis contained within a congenital diaphragmatic hernia. We demonstrate the safety and efficacy of using laparoscopy to repair a Morgagni hernia, in the setting of a contaminated field, with primary suture repair. Our patient was able to have both his appendectomy and his Morgagni hernia repair with a single operation, and there was no recurrence of the diaphragmatic defect.

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Gangrenous intrathoracic appendicitis, a rare cause of right-sided chest pain: Report of a case

Cited by 8 publications

References 12 publications

Diaphragmatic hernia following liver resection: case series and review of the literature

Diaphragmatic hernia following liver resection: case series and review of the literature

Necrotizing fasciitis caused by a primary appendicocutaneous fistula

Perforated Appendicitis Within a Morgagni Hernia: A Laparoscopic Repair

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