Laparoscopic repair of Bochdalek's hernia with gastric volvulus

Carreño, Guillermo Andrés Torres; Sánchez, R Pampín; Alonso, Rebeca Amo; Galarraga, M.A.; Moriyón, C.; Magarzo, A.; Bouzon, F.; Makdissi, Z; Obregón, Raúl Álvarez

doi:10.1007/s004640040028

Cited by 9 publications

(6 citation statements)

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“…2003 [108]1, F, 53Bochdalek herniaChest X-rayThoracotomyLeft hemithoraxStomach and greater omentumGenc MR,Obstet Ginecol 2003 [109]1, M, 29Bochdalek hernia during pregnancyChest X-ray, CT scanAntepartum repairLeft hemithoraxBowel obructionSato M, Jpn J Thorac Cardiovasc Surg. 2002 [110]1, M, 57Traffic accidentChest X-ray, CT scan, MRIToracoscopyRight hemidiaphragmLiverGuven H, Acta CHir Belg 2002 [111]2 casesMorgagni herniaBowel perforationUpper gastrointestinal bleedingKanazawa A, Surg Today 2002 [112]1 F 63 yBochdalek herniaChest X-ray, CT scan,Thoraco-LaparotomyPrimary sutureRight hemidiaphragmColon and right kidneyFisichella PM, Ann Ital CHIR 2001 [113]1 F 55 yBochdalek herniaComputed tomographyThoracotomy and laparotomyRight hemidiaphragmLiver intestinal malorationBergeron E, J Trauma 2002 [15]160 casesTraumaCarreno G, Surg Endosc 2001 [114]1, M, 52Bochdalek herniaCT scanLaparoscopic approachLeft hemi thoraxColon and volvulated stomachPrieto Nieto I, Acta chir Belg 2001 [115]1, M, 368 months after traumaCT scanLaparotomy, repair of defect, gastric perforation were closedLeft hemi diaphragmGastric incarceration and perforationNursal TZ, Hernia 2001 [116]26 casesTraumaChest X-ray, CT scan,92% Primary repair92% left hemi diaphragm31.8% stomach27,2 colonBujanda L, J Clin Gastroenterol 2001 [117]1Bochdalek herniaLeft hemi diaphragmGastric volvulusPross M, J Laparoendosc Adv Surg Tech A 2000 [118]1, M, 20TraumaDiagnostic laparoscopyLaparoscopy primary repairLeft hemi diaphragmStomachSaito Y, Surg Today 2000 [119]…”

Section: Methodsmentioning

confidence: 99%

Emergency surgery due to diaphragmatic hernia: case series and review

et al. 2017

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BackgroundCongenital diaphragmatic hernia (CDH) is a congenital abnormality, rare in adults with a frequency of 0.17–6%. Diaphragmatic rupture is an infrequent consequence of trauma, occurring in about 5% of severe closed thoraco-abdominal injuries. Clinical presentation ranges from asymptomatic cases to serious respiratory or gastrointestinal symptoms. Diagnosis depends on anamnesis, clinical signs and radiological investigations.MethodsFrom May 2013 to June 2016, six cases (four females, two males; mean age 58 years) of diaphragmatic hernia were admitted to our Academic Department of General Surgery with respiratory and abdominal symptoms. Chest X-ray, barium studies and CT scan were performed.ResultsCase 1 presented left diaphragmatic hernia containing transverse and descending colon. Case 2 showed left CDH which allowed passage of stomach, spleen and colon. Case 3 and 6 showed stomach in left hemithorax. Case 4 presented left diaphragmatic hernia which allowed passage of the spleen, left lobe of liver and transverse colon. Case 5 had stomach and spleen herniated into the chest. Emergency surgery was always performed. The hernia contents were reduced and defect was closed with primary repair or mesh. In all cases, post-operative courses were uneventful.ConclusionOverlapping abdominal and respiratory symptoms lead to diagnosis of diaphragmatic hernia, in patients with or without an history of trauma. Chest X-ray, CT scan and barium studies should be done to evaluate diaphragmatic defect, size, location and contents. Emergency surgical approach is mandatory reducing morbidity and mortality.

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Section: Methodsmentioning

confidence: 99%

Emergency surgery due to diaphragmatic hernia: case series and review

et al. 2017

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“…15,16 A primary repair is usually attempted first, but in as many as 53% of cases, primary closure is impossible because of the size of the defect, and a mesh repair or autologous flap is necessary.…”

Section: Discussionmentioning

confidence: 99%

Congenital Diaphragmatic Hernia Complicated by Tension Gastrothorax During Gastroscopy: Report of a Case

et al. 2005

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Bochdalek's hernia typically manifests early in childhood, but it is uncommon in adults. We report the case of a 77-year-old woman who suffered sudden acute cardiorespiratory distress during an upper gastro-intestinal endoscopy, caused by a massive gastrothorax, confirmed by a chest radiograph and thoracic computed tomography. Laparotomy revealed a posterolateral diaphragmatic defect and an acutely distended stomach occupying the left hemithorax, caused by an incomplete organoaxial volvulus of the organ. The stomach was reduced and secured inside the abdominal cavity by a Nissen fundoplication and the defect was repaired with interrupted sutures. Unfortunately, the patient succumbed to generalized sepsis resulting from Pneumocystis carinii bilateral pneumonia. To our knowledge, this is the first reported case in the English literature of an adult with a congenital posterolateral hernia presenting in this manner. However, it demonstrates that a symptomatic congenital diaphragmatic hernia should be surgically repaired to prevent the numerous complications that may arise, many of which can prove fatal even in an adult.

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“…Laparoscopic repair of these congenital defects has been reported. 2,[7][8][9] Traumatic diaphragmatic hernias are acquired defects, most commonly occurring on the left, in which a tear originating at the esophageal hiatus extends laterally. Herniation of isolated abdominal viscera, including the colon, through a traumatic defect has been widely reported.…”

Section: Discussionmentioning

confidence: 99%

Isolated Trans-hiatal Colonic Herniation

Felsher

Brodsky

Brody

2003

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Isolated herniation of the colon through congenital or traumatic diaphragmatic defects are well documented. However, trans-hiatal herniation of the colon in the absence of an intrathoracic stomach has been reported only once. A 67-year-old man presented with intragastric abdominal pain and a chest x-ray film documenting a posterior mediastinal air-fluid level. Computed tomography showed gastrointestinal contents within the thorax. The findings on an upper gastrointestinal film with small bowel follow-through were normal. Finally, a barium enema identified transverse colon within the thoracic cavity. At laparoscopy, the entire transverse colon was reduced with the hernia sac. The crural defect was repaired, and a Toupet fundoplication was performed. A gastropexy was also added. The patient was discharged on postoperative day 2 able to tolerate a regular diet, and he has been asymptomatic for 5 months. This defect most likely represents a congenital deformity of the diaphragm with intact posterior gastric attachments, including the posterior phrenoesophageal ligament. An intact gastric mesentery enabled isolated colonic herniation with retention of the stomach its normal anatomic position. An antireflux procedure was performed in addition to the crural repair because of the circumferential dissection of the esophagus. This article is the second report of an isolated trans-hiatal herniation of the colon and the first report of laparoscopic repair of this entity.

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Laparoscopic repair of Bochdalek's hernia with gastric volvulus

Cited by 9 publications

References 0 publications

Emergency surgery due to diaphragmatic hernia: case series and review

Emergency surgery due to diaphragmatic hernia: case series and review

Congenital Diaphragmatic Hernia Complicated by Tension Gastrothorax During Gastroscopy: Report of a Case

Isolated Trans-hiatal Colonic Herniation

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